question

pwalkerpwalker
edited April 2017 in Home Care Coding General
New referral with PT & SN, therapy went day before nursing. What is the SOC date? Tks
They were both going the same day then pt changed her mind.

Pam Walker, RN

pwalker@hcchospital.org

Office: (660) 425-7863
Fax: (660) 425-8026
Cell: (816) 646-5403

Comments

  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    The first skilled billable visit makes the SOC.
    The OASIS must be completed within the 5 day window.
    If nursing is providing services, then nursing should do the first billable visit with the OASIS.
    Since nursing did not see the patient first, the therapist did, then the therapy visit is the SOC for your episode, providing written consent is obtained by the patient. The nurse has 5 days to complete the OASIS.

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    "Since nursing did not see the patient first, the therapist did, then the therapy visit is the SOC for your episode, providing written consent is obtained by the patient. The nurse has 5 days to complete the OASIS."

    Good grief, I do not know this person who wrote this.
    I was thinking of our non-nurse SOC's for therapy-only.
    My bad. At least I was half right!


    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    No, I&D is not a surgical wound.

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • apoolman@home-rehab.comapoolman@home-rehab.com
    edited April 2017
    What is a swing bed program?



    Arlene Poolman, RN

    Director of Clinical Services

    At Home Rehab

    800.880.9715



    *The Professional Care YOU Deserve*
  • judyadamsjudyadams
    edited April 2017
    You would need to answer #4, assistance needed, but no non-agency caregiver
    (s) available for item d - Medical procedures/treatments

    Judy

    Judy Adams, RN, BSN, HCS-D, HCS-O

    Adams Home Care Consulting, Inc.
    97 Perriwinkle Place
    Durham, NC 27713
    office Phone: 919/294-6674
    Email: jradams31@gmail.com
  • SusanWinokurSusanWinokur
    edited April 2017
    Discharge to community if patient remained in residential environment for hospice care.
    Transfer/DC if the patient went into a facility for hospice care.


    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • Cynthiaplummer@patientcare.comCynthiaplummer@patientcare.com
    edited April 2017
    No they cannot do both. If someone can go outpatient therapy they are not considered home bound, which is a requirement for home care.

    Cindy Plummer, RN
    Patient Care
    Newark, NJ
  • AlifAlif
    edited April 2017
    Not necessarily. It depends on the payer. I have had some commercial payers allow for both depending on the specific circumstances.
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Debbie is absolutely correct.
    I have studied Medicare regulations extensively in my career. This is allowed under Medicare PPS as long as the out-patient therapy contracts with the HH because the HH will be the only business being paid and therefore will have to pay the OP therapy for the service provided which is needed but cannot be provided in the home like whirlpool treatments. It is all for the recovery of a stroke patient in the out-patient setting. Just because they leave home to go to a treatment does not make them not home-bound with a taxing effort leaving home.

    Nancy Wolverton RN, CCM, HCS-D
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526
    Nancy.Wolverton@kindred.com
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