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How to Get a Prior Authorization for Home Health Billing

WEBMaintain a list of telephone numbers (for each payer) to call for Prior Authorization. To get a PA you need to telephone the department of the payer that issues PAs. Typically you’ll …

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Hip Replacement: 2024 PDGM Utilization Guidelines

WEBInstruct the patient to avoid. • Leaning far forward to stand up. • Sitting on low-chairs or couches. • Bending way over when picking up objects or tying shoes. • Crossing the legs …

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A Beginner's Guide to Home Health Billing

WEBPayers are Insurance companies, Medicare and Medicaid because they are the ones paying for your services. If you are asked to bill claims for an existing payer (a payer …

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Home Health Coding: Medicare Do's & Don'ts under PDGM

WEBDo's of Coding under PDGM. 1. Align OASIS ICDs with Referral Documentation from the Physician. Medicare regulations require that a physician, with a current and active …

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Can Your Governing Body Answer These 10 Questions

WEBGoverning Body Member. 1. Date of most recent review of incident reports. Your Agency's Incident Reporting System is the foundation for compliance with Medicare's CoP …

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Patient Teaching for OASIS M1610 Urinary Incontinence

WEBHold to a count of 3, working your way up to a count of 10. Helpful hint: If you squeeze the rectal area as ifnot to pass gas, you will be using the correct muscles. When voiding, …

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What's in Your Home Health Nursing Bag

WEBGauze (2x2 and 4x4) Alcohol wipes. Disposable airway. Mask/protective eye gear. Disinfectant spray. Disposable gowns. Lab supplies for venipuncture. Sharps container …

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OASIS M2020 Oral Medications: Medicare Guidance

WEBIn-home medication management i ncludes assessing the patient's ability to self-manage oral medications. Use Medicare's own guidance & strategies for completing OASIS …

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OASIS E & PHQ2-9: Identifying a Depressive Disorder

WEBPHQ-2. The PHQ-2, first introduced with OASIS-C in 2015, is a screening tool to identify if a patient has experienced a depressed mood over the past two weeks. …

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Best Practices for Completing M1342 OASIS – Surgical Wound

WEBResponse 1 – Fully granulating: Enter Response 1 when a surgical wound has a wound bed filled with granulation tissue to the level of the surrounding skin; no dead space, no …

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OASIS (M1033) Hospitalization Risks: Patient Teaching Plans

WEBOASIS (M1033) Hospitalization Risks: Patient Teaching Plans. Posted by Melissa Cott on Mar 4, 2024. If your patient has rehospitalization risks - those that are documented on …

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PowerPath Clinical EMR

WEBBest Practice Clinical Pathways & The Largest Home Health Teaching Database. QAPI Tracking & Training for 17+ HHA Performance Metrics. Electronic Physician Orders …

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Prepare for OASIS C2 Changes: M1060

WEBInstructions for M1060 – b, Weight. Complete only if M0100 = 1 Start of Care, or 3 Resumption of Care. Use mathematical rounding (e.g., if weight is X.5 pounds [lbs.] or …

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What's the Difference between Advance Careplans

WEBAdvance Care Plans are fundamentally different than advanced directives (also referred to as living wills.) The basis for an Advance Care Plan is ONGOING COMMUNICATION …

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Congestive Heart Failure (CHF): Teaching & Care Plan for Home …

WEBRecord weight daily. Recommend: changing position frequently; elevating feet when sitting. Encourage active and passive exercises. Increase activity as tolerated. Investigate …

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PDGM Peripheral Vascular Disease (PVD) Careplan

WEBMedicare Reimbursement for Peripheral Vascular Disease (PVD) For home health providers providing intervention for PVD, the average 2023 Medicare reimbursement will …

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OASIS-E: 30 New Questions on Cancer, Dialysis, IV Antibiotics

WEBAssessment for the patient with cancer includes presence of unmanaged pain, depression, difficulty sleeping, exhaustion/fatigue, hair loss, loss of appetite, nausea/vomiting, …

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