Medicare Home Health

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Quality Assurance data for Performance Improvement

How specific are your clinicians when developing a Patient Fall Program? How do you track and educate clinicians to reduce and or prevent patient injuries related to patients\' falls? The Triangle Pyramid...

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."

Up-date to ICD-10!

Changes to ICD-10 for 2018-2019 from the CDC!

Discipline Frequency and Duration Orders

Did you know that the Medicare week to write orders for treatments and/or frequency and duration varies from home health agency to home health agency? For more information see "Are you knew to the home…?”


Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

OASIS Tip - M1600 Patients discharged with an UTI on discharge and PAEs Report

Are your Potentially Avoidable Events (PAEs) Report showing an increase in patients being discharged while having an UTI?

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

Medicare Home Health 

Skilled Services are define by Medicare (CMS) as the care that a patient having a medical condition e.g. pressure ulcer, Hypertension, Stroke may require from a license healthcare provider as a Registered/License Practical Nurse, Physical Therapist (PT/ST/OT) or Social Worker.
Medicare home health services are not available to provide personal care or manage chronic conditionsA Case Manager (RN or a Therapist) will be assign to you. The Case Manager responsibilities include coordinating services with other health care providers For example, if the Case Manager evaluates that the patient may benefit from assistance from a Social Worker (MSW) to assist with identifying, managing and obtaining services that will assist with improving the patient's medical condition, the Case Manager will consult your physician for an order.