One Time Evals
SN Care Plan
Therapy Care Plan
CHHA Care Plan
General POC Review
100

Service Type for One Time Eval Only

What is non-billable?

100

This care plan includes education on blood glucose monitoring and foot care.

What is Diabetes care plan?

100

Required for patients with diabetes

What is diabetic foot care - care plan?

100

3 required CHHA care plans

What is documenting pain level, fall prevention, and resuscitation status?

100

Section of the POC where assistive devices and supplies are entered

What is DME?

200

Admission consents & NOMNC can be found on this tab

What is the media tab?

200

Components of a complete IV medication order

What is weight gain of 2–3 lbs in one day or 5 lbs or more in a week?

200

Discipline that focuses on ADLs and IADLs

What is Occupational Therapy?

200

Only one type of this can be selected under Personal Care

What is Bath?

200

Status of deficiency/name of WQ when corrections are required

What is Revisions Needed?

300

Given to our Medicare patients with a discharge date at least 2 days later

What is NOMNC?

300

Educate patient/caregiver on signs and symptoms to report for CHF

What is weight gain of 2–3 lbs in one day or 5 lbs or more in a week?

300

Code for Aftercare Following Joint Replacement Surgery

What is Z47.1?

300

Directions to allow aide to remove or not remove during care

What is Oxygen?

300

This phrase is acceptable for goals related to drains, catheters, infusion lines, and CHHA

What is “until discontinued”?

400

SmartPhrase for One Time Eval Only verbal order

What is .HH1XONLY?

400

Standard parameters for blood glucose

What is repeated blood sugars below 70 and above 200 and critical blood sugar levels above 400 or below 55 to be reported?

400

Indications are required for these high risk medications

What are Antibiotics, Anticoagulants, Antiplatelets, Antipsychotics, Hypoglycemics including insulin, Narcotic/opioids?

400

Only this type of ointment can be applied by the CHHA

What is non-medicated?

400

Section of the assessment where information must be given to the patient/cargiver?

What is Patient Wishes / Advance Directives?

500

2 WQs that the One Time Eval Only contact will be received

What is the Coding WQ and the Ready to DC 1x Only WQ?

500

Components required for urinary catheter changes

What is type, Material, Size, Balloon size, type of solution, inflation Solution and inflation amount, the frequency of changing the catheter, and who will be performing the change?

500

SmartPhrase for Therapy admission summary note

.HHREHABADMISSIONSUMMARY

500

Only one intervention should be selected (if ordered) to prevent confusion and delay in intervention

What are vital signs parameters?

500

When the threshold must be included on the POC

What is pain level differing from 4/10?