Which of these is covered by Medicare Part A/B: (select all that apply)
a. Part-time or intermittent skilled nursing care and home health aid care
b. PT
c. 24-hour-a-day care at home
d. OT
e. Meals delivered to your home
f. Custodial or personal care (bathing, dressing, etc.)
g. Speech-language pathology services
h. Medical social services
i. Homemaker services
a. Part-time or intermittent skilled nursing care and home health aid care
b. PT
c. 24-hour-a-day care at home
d. OT
e. Meals delivered to your home
f. Custodial or personal care (bathing, dressing, etc.) **not eligible when this is the only thing the patient needs**
g. Speech-language pathology services
h. Medical social services
i. Homemaker services
List the three main things that you need (either with one or more of the three) to be eligible for Medicare A/B
1. Intermittent skilled nursing care (other than drawing blood)
2. PT, speech-language therapy, continued OT
3. Must be homebound, and a doctor must certify that you're homebound.
T or F: you are not eligible for home health benefit if you need more than part time or intermittent skilled nursing care.
True
When a patient is receiving PT, speech therapy, or continued OT, what are the qualifications needed for these services to be covered.
These services are only covered when they are specific, safe, and effective for the patient's condition. To be eligible:
1. pt's condition must be expected to improve in a reasonable and generally predictable period of time
2. pt needs a skilled therapist to safely and effectively make a maintenance therapy for their condition.
3. pt needs a skilled therapist to safely and effectively do maintenance therapy for condition.
Define homebound
1. leaving home is not recommended by MD
2. Must have help to leave home (device or person)
3. It's a major effort to leave home
Which age groups receives the highest percentage of homecare?
C.
List examples of skilled care provided; both direct care and teaching
Direct care:
- wound care
- IV abx for sepsis
- chemo
- lab draws
- hemodialysis
- blood product administration
- assess and observe
Education:
- selfcare
- self med
- tasks and pain management
List the "home care team"
PT
OT
ST
Social work
Certified Home Health Aid
List responsibilities of the Nurse Care Manager and RN with home care
Hands-on clinician
Team case manager
Reimbursement Specialist
Coordinates among specialists
List steps for the "first visit assessment" (6)
1. Decide if pt meeds Medicare criteria
2. Evaluate safety of home and if caregiver is needed
3. Decision Point and consent
4. Exam patient: overall and functional
5. Medication Reconciliation
6. Plan of tx and orders based on assessment
T or F: a RN must have 6 months professional RN experience to be qualified
False: 1 year
According to Title 22, phone orders must be signed by ____ days.
30
List equipment needed (minimum) that a RN brings for PPE and disposing/cleaning of equipment
