Test Your Luck
Gardening
Potpourri
Things we do at Work
Old things that are New
100
Primary roles of Home Health case manager
What are educate the patient and care team, assist the patient to obtain the care they need
100
A process by which a Registered Nurse teaches and supervises a skilled nursing task to paid caregivers
What is nursing delegation?
100
This must be completed by the last "qualified clinician" to see the patient
What is the OASIS discharge?
200
A process which includes calling the patient/ representative to explain the form/discharge plan in detail, allow at least one week (longer if representative is out of state) for processing of the form prior to discharge, calling medical records to verify the form was signed and received
What is sending a NOMNC to a patient or representative?
200
Provide written instructions for the performance of the task, observe a return demonstrations by the unlicensed person, instruct on signs and symptoms to be observed, provide guidelines of what to do in signs and/or symptoms occur, make at least one visit after delegation to supervise the care being given.
What are the components of a nursing delegation?
200
Actual date the contact is opened and the assessment is completed.
What is Date Assessment completed (for both discharge and transfer)?
300
Medicare Advantage, Medicare FFS, and Deductible plan with Medicare secondary.
What are the 3 insurance plans/coverage where OASIS assessment is required?
300
The specific care that was delegated is no longer required, patient safety is compromised, patient condition is unstable/unpredictable, the willingness/ability of the person delegated changes, the pt or their representative requests no delegation
When is a nursing delegation rescinded?
300
Patient is called and refuses further services. The OASIS assessment items are answered based on the patient's status during the last home visit by the clincian completing the OASIS.
What is a discharge without a home visit?
400
This is given to a patient when there are reductions in the plan of care due to physician's orders or for administrative reasons, FFS patients only
What is the HHCCN?
400
Visit information, description of activity, patient/caregiver response to treatment, progress, specific plan for next visit.
What must be documented at every visit to support the medical necessity of the skilled service being provided?
400
Completed when a medicare patient goes to any inpatient facility for 24 hours or more for reasons other than diagnostic testing
What is an oasis transfer?
400
No longer applicable as answers for M110-Episode timing and M2200-Therapy need.
What is NA?
500
Not completing the form properly, abbreviations used, failing to place a line through the "other" state contact information, not putting pt ame and/or health record number on the form
What are reasons the NOMNC would be considered invalid?
500
A detailed rationale that explains the need for the skilled service, documentation on the complexity of the service to be performed, and any other pertinent characteristics of the patient or home
What must be documented to show the skilled services will maintain, prevent, or slow further deterioration in the pt status?
500
Any qualified clinician, even if they have never seen the patient.
Who can complete the transfer form?
500
The first or second episode in a current sequence of adjacent payment episodes (certification/60 day) episodes.
What is an "early" episode?
500
The third or greater episode in a current sequence of adjacent payment episodes (certification/60 day) episodes.
What is an "later" episode?
M
e
n
u