Regulations
Documents and Forms
Policies/Procedures
Care Coordination
Random stuff you should know
100

Education to both client and caregiver must be present in the _______________

Plan of Care

100

Where can you locate the documents and forms needed for visits? 

Zendesk

Learning and training support -- IN-- Clinical Forms & Training



100

How many days do providers have to sign an order and/or POC?

60 days

100

Which 2 entities are ALWAYS part of care coordination? 

PCP and HHA (or agency nurse if skilled)

**must document date/time and state that POC was reviewed

100

Name your Administrator, Alternate Administrator, and AQ Nurse

Lydia Gadd – Indianapolis Administrator

Nichole Speer – Indianapolis Alternate Administrator

Mindy Bundy – Columbus and Evansville Administrator

Ann Naylor – Columbus and Evansville Alternate Administrator

 Ann Naylor – AQ Nurse : Columbus, Bedford, Jasper, New Albany, Evansville, Seymour, Greenwood, Indy Avon

 Ashley Patton – AQ Nurse: Muncie, Anderson, Winchester, Terre Haute, Bloomington, Lafayette, Indy East, Richmond

200

How often must you perform a supervisory visit for HHA clients? 


Daily Double

at least every 60 days

How often are other supervisoryvisits required?

every 14 for dual discipline (HHA + Skilled)

every 30 for LPN skilled case

RNs do not requiresupervision

200

Where must you upload updated consents, patient signature form, BAA, legal forms, etc? 

Original cert period attachments 

200

Who needs to be notified if your client and/or caregiver has a complaint? 

Branch Manager and Administrator/Alternate

200

True of False ?

BAA are required for outpatient agencies

False -- 

BAA are required for any other agency providing care in the home (ex: skilled provider, waiver provider, group home, hospice, etc)

200

Aside from falls and ER/hospitalizations, name 3 other reasons you would complete an IR? 

new or worsening wound, communicable disease, abuse, neglect, exploitation, missing medications, death, infestations, fire, injury, theft, etc 

300

In what timeframe should ALL documents be uploaded to the EMR? 

14 days -- this includes skilled nursing flowsheets and MARS

300

What is the purpose of the patient signature form and when should you complete it? 

 The form is intended to provide alternate confirmation when unable to provide full signature on DVS and consent forms (ex: unable to sign full name due to CP)

At admission and when change of condition warrants.

300

When must a caregiver complete competency evaluation? 

At hire (before first shift) and as needed for report/observation of inadequate care 
300

Name 3 ways to prove that Care Coordination was completed.

upload fax success

communication note for phone call before/after visit

on comprehensive assessment when completed during visit (ex: HHA present, group home staff present, etc) 

300

DNR cannot be listed for code status  until what 2 things are on file?

Physican order and DNR paperwork from patient (out of hospital DNR, POST form, etc)

400

How often is a home observation required? And what tasks are eligible for observation?

Twice per year (best practice every 6 months). Bathing, hair care, toileting, skin care

400

Name 3 non-eligible tasks for the home observation form

light housekeeping, meal prep, laundry, ambulation, repositioning, med reminders

400

Who is allowed to modify a communication note? 

The original writer 

400

How do you distinguish who is the primary provider on the BAA form? 

The primary provider should always be the agency providing the higher level of care (ex: HHA primary over waiver; skilled nursing/PT primary over HHA)

400

Which service line must you select in Riskonnect when entering an IR for a PA patient? 

Skilled

500

What forms must be completed for a pseudo patient prior to their first class? 

Pseudo patient job description and pseudo patient orientation 

500

Where will you keep the completed Individualized Emergency Action Plan? 


Daily Double 

Original POC attachments, home chart, binder in office

What are the 3 disaster code plan/colors and give an example scenario of each code.

Red/level 1

Yellow/level 2

Green/level 3

500

How often must QA be completed for HHA documentation (DVS/telephony review)? AND......name 3 reasons that follow up would be required? 

QA must be completed and documented every 30 days. 

Follow up is required for unusual findings, not following service plan, missing client and/or caregiver signature, blank timesheets

500

Explain what you must do if your client is placed on hospice? 

Confirm payer source for hospice, confirm primary diagnosis for hospice, confirm PCP willing to continue to sign HHA orders

Confirm visit frequency in order to send decrease order to MD, send POC to hospice and request theirs in return, complete BAA


500

When should you check your diagnosis codes to confirm if they are still current? AND........where do you need to update it if your primary code changed?

At admission and recertification. AND......... UBO4-2, box #66 and in the Admission --> admission tab (primary diagnosis)

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