Home Health: By definition helps patients of all ages in their own home environment to reach prior level of function (PLOF) and/or functional independence for as long as possible, even with an illness or injury. Home health care may include occupational and physical therapy, speech therapy, and skilled nursing. As with any setting, there are regulations that must be followed per local and national home care organizations to be covered by insurance. Please review the below basics of home health and let us know if you have questions.
Home Health Tips (Click Here)
Timelines:
VO (Verbal Order) Must consist of time, date, an MA/RN name you spoke to and what frequency/POC they approved.
SOC - Must be completed in 48hrs of the order, or a delay order must be obtained (all delay orders must be written as a separate order BEFORE you evaluate, followed by another order AFTER you evaluate with your frequency and POC)
Evaluations - Must be completed within the 5 day window of the SOC, or a delay order must be obtained
Add On Evaluations - Must be completed within the 2 day window, or a delay order must be obtained
Electronic Visit Verification (EVV)
***You are required to utilize EVV for every visit to get paid and to bill agencies. PLEASE pay attention to each individual agency protocol for their EVV system (Kinnser EVV, CellTrak and Sandata are a few utilized for example depending on the agency).
Basic In Home Techniques and Requirements
Bag Items Required & Recommended
Universal Standard Precautions & Hand Washing
Definition of Skilled Visit - at minimum 30mins of face to face skilled care with a patient, documentation time should be added to your total time (i.e. Face to Face with the patient 30mins and document for 15mins = 45mins total)
Survey CAHPS (What you need to keep in mind at every visit - this is what each patient will be asked following your care)
Home Health Basics
High Risk Medication Education
How to Introduce Yourself as a Contract Therapist
How to call a Doctor’s office for orders
How to call a patient for scheduling
How to present yourself at an Assisted Living Facility or Retirement Facility
Infection Control Related to Bed Bugs
Home Health Visit Outline Guides
Start of Care GG coding information
Start of Care Functional Abilities and Goals
Start of Care OASIS Coding Facts
Resumption of Care (ROC) or RE-CERT OASIS