Private Duty Nursing
PCS
Case Management
Admissions
Field Staff Supervision
100
This DMA specific form is filled out with each recertification and reports about the client progress and nursing services provided in the home.
What is the Medical Update Form (MUD
100
This must be entered into QI report, printed, signed by the client, and submitted back to Liberty before payment will be authorized for services
What is PCS Service Plan
100
This form is completed when the client goes to the ER, is admitted to the hospital, receives services from another Bayada Office, is placed in a skilled nursing or assisted living facility, or obtains additional services (ex> Medicare services)
What is a transfer form
100
These three components of an assessment are completed on admission, with each recertification, and with each resumption of services.
What is Assessment, Assessment Screening Tool, and Fall Risk Assessment
100
This is the time frame that an aide must be seen in the client's home for all assistive care cases.
What is every 3 months
200
This form is completed on admission and with each recertification. It uses a point system to help determine eligibility of PDN services for beneficiaries
What is Hourly Test Document
200
This is the third party entity that regulates the PCS program
What is Liberty Healthcare Corporation
200
This must be entered into the computer anytime something occurs that is outside of the routine delivery of care.
What is incident report
200
This document is signed by the client/client representative and allows us to provide services, verifies advance directives, and guarantees payment
What is client agreement form
200
This is when HHA competency is performed
What is before hire and annually
300
This is the time frame that recertification requests/paperwork must be submitted to DMA prior to the end of the certification period
What is 10 days
300
This is your response to a PCS client that requests for the aide to take them to the store and to their hair appointment.
What is NO!
300
This is the name of our program that provides education regarding infections, tracks infections, and distributes data quarterly
What is the Infection Prevention Program
300
These two forms, along with the client agreement form must be signed during admission
What is the NC Rights and Responsibilities Addendum and Client Comment Form
300
Skilled nurses must be observed in the home this often
What is yearly
400
This information, gathered from NC Tracks, ensures that your office will be paid for the nursing services that have been provided
What is an authorization
400
This documentation, completed by field staff, must be accurate in order to bill for PCS services
What is HHA Activity Record
400
This form is used frequently to describe changes in client condition, schedule, or care delivery
What is COS note
400
This information sheet is given to families to explain what they can expect from our services
What Home Care facts for Families
400
A skilled nurse that is not permanently coded is considered this and must have orientation with each subsequent case that is captured on trackers and signed off before working independently
What is PEP coded
500
This information from DMA's website gives specific, detailed rules to providers about the PDN program, including determining eligibility of beneficiaries, hiring criteria of field & office staff, and how to manage different situations with PDN clients
What is Clinical Coverage Policy 3G
500
This process is done quarterly to ensure we're compliant with PCS policies
What is Quarterly PCS Audits
500
This is the amount of times that a skilled nursing client must be visited weekly after a resumption of services is done
What is twice
500
For both skilled nursing and assistive care cases, this documents delegate instructions to field staff.
What is HHA Care Plan for assistive care and 485 for skilled
500
Employees are our ____________
What is Greatest Asset!
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