MCR HH
How MCR Home Health is covered.
What is Medicare Part A?
A visit for certification of eligibility for home health.
What is a face-to-face encounter?
The insurances Trilogy HH takes.
What is Medicare?
This type of liquids is delivered into the veins through a variety of different lines to help fight infections.
What are antibiotics?
These are the 4 qualifying services for MCR HH.
What is skilled nursing, physical therapy, speech therapy and occupational therapy?
Timeframe requirements for F2F
What are no more than 90 days prior to HH SOC or within 30 days after the SOC date?
Must be called into intake with as much information as possible by 9:30 am everyday.
What is the hospital board?
Four specific items that need to be on the IV orders.
What are: Drug Name, Dose, Frequency/Duration & IV Access Type?
The 4 qualifying skills for SN services
What are observation & assessment; teaching & training; skilled procedures and management & evaluation?
The signing provider must always either electronically or physically do this to all F2F documentation.
What is sign and date?
The call the HHC makes to every referral to introduce themselves, talk about Trilogy services, give contact information, confirm address, phone #'s, patient/caregiver is teachable or willing & able to learn and get COVID questions answered to send into intake.
What is intro call?
The patients first known exposure to a particular IV medication that's being administered in the home.
What is the first dose?
These are 4 of the 6 skilled procedures SN services provides.
What is wound care, changing catheters, decubitus care, IV-IM-SQ injections, tracheostomy care, tubes care?
Telehealth visits are now allowed by providers and must include these 2 items.
What are audio & visual?
The 3 calls all HHCs are required to make to all of their patients to ensure a smooth transition and to ensure they get their patients back onto services if they ever need HH again.
What are the intro call, check in call and d/c satisfaction call?
What the pharmacy provides
What is medication and IV support supplies
Skilled nursing care for fewer than 7 days a week or less than eight hours each day over a period of 21 days or less with some exceptions in special circumstances aka "short amount of time"
What is part-time intermittent care?
The providers who can perform a F2F.
Who are certifying physician, ARNP, PA, NP or physician who cared for the patient in the acute or post-acute care facility from which the patient was directly admitted to HH?
9 details required for IV referrals.
What are:
1. First dose? If so pharmacy needs to supply anaphylactic kit
2. Pharmacy name/#?
3. Insurance for meds/supplies?
4. Patient/caregiver teachable?
5. Signing MD?
6. Order specifics?
7. Lab orders?
8. If d/c from hospital or SNF what time was last dose?
9. D/c plan for line?
How IV medications are covered.
What is Medicare Part D, the patient or their RX coverage