21st Century Health Care Consultants
Answer
It depends on the state. Please contact us about the requirements in your state.
Question
Can the Medical Director sign the 485 and Face to Face?
Question
Can you subcontract PT, OT, SLP and MSW services?
Answer
No.
Question
If the Director of Nursing is making a weekly visit to the patient and the patient is also receiving HHA services, can the RN weekly visit serve as the supervisory visit for the HHA? Does the HHA have to be present?
Answer
Yes. When the patient is receiving skilled services and HHA services, the supervisory visit must be completed at least every 2 weeks. The HHA does not have to be present. The RN must complete the supervisory section on the clinical note.
Question
If the patient has wound care ordered that include a prescription ointment is the agency responsible to provide the ointment?
Answer
No. The agency is not responsible to provide any prescription medications. The patient is responsible to obtain any prescriptions from a retail pharmacy.
Question
How often does CHAP re-survey after the initial survey?
Answer
The typical re-survey cycle is every 3 years. CHAP may make unannounced surveys if a complaint is made or the agency has a significant event occur.
Answer
No. This skill can only be performed by the RN or LPN.
Question
Can I bill for start of care, resumption of care and discharge visits?
Answer
No. Under the Medicare PPS system you are paid a set amount based on the OASIS-C transmission. Adjustments to the total payment are made when the discharge OASIS is submitted. You do not bill for inpidual visits.
Question
When should the patient satisfaction surveys be completed?
Answer
It is recommended that the post admission survey is completed after the 2nd week of service. This survey may be done by phone. The discharge survey is given to the patient at the time of the last visit. A return envelope should be provided.
Answer
No. The patient is not required to sign. It is recommended that the patient sign the HHA notes.
Question
If you are not able to use the bathroom sink to perform hand washing, can you use gel?
Answer
Yes. Soap and water is always the preferred choice for hand hygiene, however gel is a better choice if the bathroom is not available. The kitchen sink should not be used.