PurpleDaisy🌸

By ROC, do you mean resumption of care, after the patient has been in the hospital? A recert/follow-up is what you do at the end of the 60 day certification period. Two different forms/packets Not sure what the other packet is that you are referrin...

Is all of the above what you would cover for revisits or just SOC?

I work at two agencies. Both have overnight call and weekend call in addition to regular hours. One agency is slower and nurses may not get weeknight calls. The other is quite busy and they do get many calls plus SOC after hours for oncall nurses....

You just summed up my work frustrations!

also, thinking way back to nursing school, I remember being so absurdly stressed in clinicals, fearing the dreaded "clinical warning". That anxiety sat with me for a while, even after graduation. Maybe reminders to relax, you are there to teach, no...

criticism said in a mentoring, supportive manner/tone is more effective to me, than sarcasm, barbed criticism, and passive-aggressive statements. Just my own experience speaking here (sigh) -- Based on your posts here on AN, I strongly suspect you d...

surgical wounds healing by primary intention can only be "newly epithialized" or "not healing".

Most of the patients I see are medicare patients, and after several months in HH, I have a pretty good handle on what is involved with these patients. I am however, still trying to work out the details of MEDICAID patients. What do your notes look ...

I have to second this statement. Libby1987 has so much encouragement, here on the home health board. I am guessing she is a wonderful mentor, in her agency. I hit a wall a few weeks ago, after several months in my new job, when my eyes opened up...

It is rather interesting that medicaid coverage varies so greatly state to state. This is the link I found last night: Massachusetts Medicaid Waiver

do you find that your visits and notes look different than those that you do for medicare patients?

that the payer would be switched to medicare, vs the payer being medicaid. I actually did find something on the medicaid website. I will link to it later, when I am on a computer.

I don't mean that they would no longer have medicare coverage. I just meant that if a Pt is chronic/stable, there is no need for sn services, so medicare would not pay for sn services. As for the criteria for medicaid to pay for sn services, I am w...

I have read all your comments, and still trying to wrap my head around this medicaid/medicare difference. Our medicaid patients are chronic and stable. Is that the case for all of you? @libby1987, it sounds like that is NOT the case for you? I do...

That is impressive... And would be my preference, if my opinion mattered. One of my jobs requires visits complete prior to pay cycle ending (not closed = not paid). Not sure their timeframe on oasis, as I do not do oasis at that job. My other job ...

Also, I agree that OP may prefer intermittent visits. That is what I am doing now, and I love it! The flexibility is perfect for my family situation, I am learning unbelievable amounts (nursing AND paperwork, lol!), and I thoroughly enjoy the conne...

@libby1987: At my agency, what you are calling "private duty" is called home health high tech, bc it is paid for by medicaid. Private duty is self pay, and we do not provide that service. At least, that is my experience with quite a few years of hi...

I am being told specifically to chart LESS and NOT to chart teaching (medicaid visits only though, not for medicare visits). That is why I am so confused.

How many patients do you see in a day? Does the number go down when you do an admission? Do you paper or computer chart? I have both home care and hospice experience, at different agencies. I am relatively new to home care visits (paper charting) ...