homehealth43130

homehealth43130

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All Content by homehealth43130

  1. Discharge oasis vs Admission oasis discrepancies

    homehealth43130 replied to AnnemRN's topic in Home Health

    My question to the staff is if the OASIS reflects that the patient status has declined and that decline was not anticipated, why are we discharging them. If the scoring was wrong on admission, then...

  2. How specific on 485?

    homehealth43130 replied to bloomicy's topic in Home Health

    Just another take on this: We have been sited by our State surveyors in the past for being too general and doing things that were not on the 485, we have also been sited for not doing everything that...

  3. QA nurses and missed visits

    homehealth43130 replied to LearningRN's topic in Home Health

    I send a FYI note to the physician (dated the day I write it) that on chart review it was noted that a visit for this day was missed. I double check billing to make sure we didn't bill for something...

  4. QA nurses and missed visits

    homehealth43130 replied to LearningRN's topic in Home Health

    I am also a QA nurse and I do not write missed visits notes. I take all of them back to the clinician it involves and have them write them. I was not there, did not talk with the patiet etc. I...

  5. Are 15 Minute Visits Possible?

    homehealth43130 replied to athomemom56's topic in Home Health

    There are several payers that don't pay for a visit that is less than 30 min. For our agency, our average visit is around 40 min. We treat all patients the same and each note must be able to stand...

  6. Hhabn

    homehealth43130 replied to PattiRN's topic in Home Health

    yes you do need to issue a HHABN when decreasing a Medicare patient between cert period. These rules came out in August of 2006....

  7. The weird part of hh

    homehealth43130 replied to nurseby07's topic in Home Health

    It use to be Bob Barker - you didn't dare show up during The Price is Right or you might not get in the door.

  8. homebound status question

    homehealth43130 replied to dpw's topic in Home Health

    To be homebound you need to take a considerable taxing effort to get out of the home with or without an assistive device. See text from the Center for Medicare Advocacy: "Sections 501-508 of the...

  9. medicare wound care question

    homehealth43130 replied to melissahunter2's topic in Home Health

    Here is the link to the consolidated billing list http://www.cms.hhs.gov/HomeHealthPPS/03_coding&billing.asp everything on the list is consolidated into the PPS

  10. Qa/qi

    homehealth43130 replied to mom of one's topic in Home Health

    The nursing audit can be done either way. I do pick a random list of patients - sometimes pick a number and then choose a certain number from there - i.e. start with patient number 15 and audit every...

  11. Qa/qi

    homehealth43130 replied to mom of one's topic in Home Health

    You get your quality indicators from CASPER for the OASIS. Someone - usually the person who submits the data for the agency - has access to pull the CASPER OBQI and OBQM reports. You should be...

  12. Hi tech vs low tech visits and pay for LPN

    homehealth43130 replied to CrazyFLBean's topic in Home Health

    We have all new employees pay for their own criminal background check and if it comes back ok, then they get reimbursed for the

  13. what is your oasis deadline

    homehealth43130 replied to cny4rn's topic in Home Health

    Our policy on all SOC or Recert OASIS is 72 hours, all other paperwork and OASIS assessment is 24 hours. You need to look at what your policy says and follow it, that is the standard you will be held...

  14. A New Car

    homehealth43130 replied to cherilee's topic in Home Health

    Some agencies find it more cost effective to lease a fleet of cars for their home care staff than pay mileage. It's not common, but not unheard of

  15. Mediport Flushes And Hh

    homehealth43130 replied to JennyHHRN's topic in Home Health

    Medicare will only cover med port flushes to maintain a port for 3 months per Palmetto

  16. in the dark w home health

    homehealth43130 replied to rxrn's topic in Home Health

    edyrn, The answers to your questions depend on the type of agency you work for, the part of the country you live in and how the agency is set up. Lifting depends alot upon the type of patient you...

  17. Does this seem wrong?????

    homehealth43130 replied to Narcoleptic Nurse's topic in Home Health

    Some of the reforms to PPS are coming down for just the reasons you mentioned. OIG audit on therapy for 2007 and 2008 is looking at number and reasonable and necessary requirement for therapy as well...

  18. Remicade / Immunoglobulin IV in home health setting?

    homehealth43130 replied to becca-roo's topic in Home Health

    Medicare didn't pay for this - the patient's insurance covered the cost of the drug and the nursing visit. There was not a physician office that would infuse the drug at the time we gave the remicaid...

  19. Pay Rate

    homehealth43130 replied to Christie RN2006's topic in Home Health

    try having them contact the Area Agency on Aging, there are funds available for alzheimers respite

  20. Remicade / Immunoglobulin IV in home health setting?

    homehealth43130 replied to becca-roo's topic in Home Health

    We have given both IVIG and Remicaid in the home. We never first dose and an RN must be present the entire visit. We don't do much of thoes infusions anymore since the local hospital opened an...

  21. Joint Commission - NPSGs

    homehealth43130 replied to ALHHRN's topic in Home Health

    We run between 180 and

  22. Joint Commission - NPSGs

    homehealth43130 replied to ALHHRN's topic in Home Health

    We audit handwashing at supervisory visits- hits everyone at least once a year as we do an supervisory visit for yearly evals on everyone. I ask 10 people each month what our patient identifiers...

  23. Oasis Coordinator, ARRGGHH! Does this happen to everybody?

    homehealth43130 replied to DutchgirlRN's topic in Home Health

    For answer to MO440, does this patient have a skin lesion or an open wound, is you look at the guidance in Chapter 8 of the OASIS implementation manual, CMS considers the following lesions: "A lesopm...

  24. Pediatric Recertification

    homehealth43130 replied to AmPmRnoncall's topic in Home Health

    go to cms.gov and choose home health under providers - go to the conditions of participation, interpretive guidelines for state surveyors - page 10 of 96 in essence states that if you are a medicare...

  25. Insight into home health

    homehealth43130 replied to RN0202's topic in Home Health

    You either love or hate home care - I have been working in home care in some capacity or other for 28 years. You need to be confident of yourself and your skills, organized and able to work...