Home Health visit Same Day Patient Has a Physician Appointment

geargeezergeargeezer
in Oasis General
Hello all!
Under Medicare can a skilled nursing home health visit be performed the same day the patient has a physician appointment? For example, a patient has a follow up appointment with a physician who will not be addressing a patients Wound Vac but the Wound Vac dressing needs to be changed on the same day as the physician appointment (needs to be changed every 48 hours). Can the nurse go out that same day and perform the wound Vac dressing change?

Thanks, Scott

Comments

  • CoderKCoderK
    Yes. We do all the time, although normally we see patient, they are having issues and get them in to see dr. the same day. Have never had an issue. You'll run into that a lot with dressing changes.

    Sent from my iPhone

    > On Mar 2, 2017, at 6:32 PM, Scott Colombo wrote:
    >
    > Hello all!
    > Under Medicare can a skilled nursing home health visit be performed the same day the patient has a physician appointment? For example, a patient has a follow up appointment with a physician who will not be addressing a patients Wound Vac but the Wound Vac dressing needs to be changed on the same day as the physician appointment (needs to be changed every 48 hours). Can the nurse go out that same day and perform the wound Vac dressing change?
    >
    > Thanks, Scott
    > ---
    > This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.
  • dfalendfalen
    We have always tried to make a point to verify which MD the patient may be seeing on that day. If it is our ordering physician then we normally don't unless there is a dressing change that the MD doesn't do. We watch to be sure we are not duplicating services. We will then go in on say the next day to
    follow up with the patient as to the outcome of the MD visit. Just our practice, although you can never be 100 % sure when a patient is going into the MD office. I have never run into an issue if we have been in on the same day that I am aware of.

    Deborah L. Falen

    Home Health Office Coordinator

    debbie.falen@echospital.org



    Ellwood City Hospital HHA

    724 Pershing Street

    Ellwood City, PA 16117

    phone 724-758-2730

    fax 724-752-4216

    ________________________________________
    From: Kelly Rasmussen [krasmussen@prmc.org]
    Sent: Thursday, March 02, 2017 9:22 PM
    To: OASIS-L
    Subject: Re: [oasis-l] Home Health visit Same Day Patient Has a Physician Appointment

    Yes. We do all the time, although normally we see patient, they are having issues and get them in to see dr. the same day. Have never had an issue. You'll run into that a lot with dressing changes.

    Sent from my iPhone

    > On Mar 2, 2017, at 6:32 PM, Scott Colombo wrote:
    >
    > Hello all!
    > Under Medicare can a skilled nursing home health visit be performed the same day the patient has a physician appointment? For example, a patient has a follow up appointment with a physician who will not be addressing a patients Wound Vac but the Wound Vac dressing needs to be changed on the same day as the physician appointment (needs to be changed every 48 hours). Can the nurse go out that same day and perform the wound Vac dressing change?
    >
    > Thanks, Scott
    > ---
    > This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.

    ---
    This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.
  • aidatacan2002@yahoo.comaidatacan2002@yahoo.com
    edited April 2017
    Not a problem., just code properly and document properly.
  • aidatacan2002@yahoo.comaidatacan2002@yahoo.com
    Not a problem., just code properly and document properly

    Sent from my iPhone

    > On Mar 3, 2017, at 6:29 AM, Falen, Debbie wrote:
    >
    > We have always tried to make a point to verify which MD the patient may be seeing on that day. If it is our ordering physician then we normally don't unless there is a dressing change that the MD doesn't do. We watch to be sure we are not duplicating services. We will then go in on say the next day to
    > follow up with the patient as to the outcome of the MD visit. Just our practice, although you can never be 100 % sure when a patient is going into the MD office. I have never run into an issue if we have been in on the same day that I am aware of.
    >
    > Deborah L. Falen
    >
    > Home Health Office Coordinator
    >
    > debbie.falen@echospital.org
    >
    >
    >
    > Ellwood City Hospital HHA
    >
    > 724 Pershing Street
    >
    > Ellwood City, PA 16117
    >
    > phone 724-758-2730
    >
    > fax 724-752-4216
    >
    > ________________________________________
    > From: Kelly Rasmussen [krasmussen@prmc.org]
    > Sent: Thursday, March 02, 2017 9:22 PM
    > To: OASIS-L
    > Subject: Re: [oasis-l] Home Health visit Same Day Patient Has a Physician Appointment
    >
    > Yes. We do all the time, although normally we see patient, they are having issues and get them in to see dr. the same day. Have never had an issue. You'll run into that a lot with dressing changes.
    >
    > Sent from my iPhone
    >
    >> On Mar 2, 2017, at 6:32 PM, Scott Colombo wrote:
    >>
    >> Hello all!
    >> Under Medicare can a skilled nursing home health visit be performed the same day the patient has a physician appointment? For example, a patient has a follow up appointment with a physician who will not be addressing a patients Wound Vac but the Wound Vac dressing needs to be changed on the same day as the physician appointment (needs to be changed every 48 hours). Can the nurse go out that same day and perform the wound Vac dressing change?
    >>
    >> Thanks, Scott
    >> ---
    >> This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.
    >
    > ---
    > This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.
    > ---
    > This list is an exclusive service of DecisionHealth (http://www.decisionhealth.com), publisher of Clinical Supervisor Alert. To access the web interface, go to http://www.decisionhealth.com/oasis-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to “no mail.” To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.
  • rgalatiotorgalatioto

    Yes, RN can if the MD does not have the capability to perform the wound care.

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