FOC/F2F
How should the clinician completing the SOC, identify the FOC?
Reviewing the F2F encounter, this should match why we are seeing the patient. If not we need to reach out to your CD/ACD.
FOC must match the F2F encounter
two parts:
1.To what type of patients are NOMNCs issued?
2.When is the earliest a NOMNC can be issued?
1.ALL MCR patients including MCR advantage plans
2. up to seven days prior to expected discharge date
What did our offices implement to help improve outcomes as well as educate staff.
QAPI CIRCLE/POD MEETINGS reviewing Einsteins
Name two areas a patient may give a low score in
assessing home for safety, medications, pain, update on patient information
Name 2 important things to research in chart before seeing pnt.
payor, skill, homebound, orders diagnosis, HA or LPN supervisory due
What is our time frame on F2F encounters.
An encounter with MD 90 days prior to home health or within 30 days of SOC (we can schedule)
If a NOMNC is issued at the discharge visit, when will the DC visit and the DC summary need to be completed?
DC visit can be completed the day of discharge, but DC summary can't be completed until 48 hours after the DC visit
DFS counts for 20% of VBP. What contributes to the discharge Function scores.
11 GG ITEMS
List one measure addressed on the patient survey mailed to patients home.
care of patients, communication between providers and patients, specific care issues, overall rating of agency, recommend agency
This should be done at each visit.
This person is responsible for completing the F2F encounter documentation.
the certifying physician
Name all three pieces of information that must be included on page one of the NOMNC form?
1. patient name
2. office name/information
3. effective coverage end date
This measure counts for 26% of Value Based Purchasing.
Potential Preventable Hospitalizations
Name the patients that may receive a HHCAHPS survey in the mail
Active or discharged patients
How do we send Interdisciplinary communication.
LINK
On SOC assessment/documentation-what two things must be documented in the narrative in order for Wellsky to be able to code the visit/episode appropriately?
skilled need and FOC
What is the purpose of the NOMNC
Name one of our Quarterly Goals for this Quarter.
1. Improve oral med management to reach state and national
2. Improve DFS to reach state and national
3. Improve Potentially Preventable Hospitalization Stay
4. Improve HHCAHPS overall composite score to reach benchmarks
Who can complete and mail back the survey
Patient or caregivers
Where is the patient centered goal documented
1On the care plan/as outcome
What additional information is requested and should be included in initial assessment documentation related to unspecified conditions such as CVA, fractures, pressure ulcers, wounds, etc?
laterality, specific site/location, late effect of, etiology if a wound
List two reasons a patient wouldn't require a NOMNC according to 3HC policy.
1. MD order to DC
2. Patient request to dc
3. patient moves to higher level of care-rehab/hospice
4.agency dc due to business reasons-non-compliance/safety
What two areas does the Mock Survey Continue to focus on
Medications reconciliation and HA services
What is 3HC Catch phrase at the end of our visit.
I've got time!
How many years has 3HC agency been established?
43 years