Policy Manual sample

MDT Home Health Care Agency, Inc. c. Referral source cancels referral. d. Patient can not be found after three (3) attempts. ALL OTHER PATIENTS REFERRED TO AGENCY MUST RECEIVE A VISIT. 2. There are only two reasons why a patient may be a NTUC at admission visit: a. Patient refuses further care/visits. In this case patient must check ''B'' on ABN and sign form (if patient refuses to sign form, note this on the form itself and leave patient’s home) b. Patient is not homebound. In this case, tell patient you need to consult with manager and MD and you will get back to him/her regarding plan of care; contact MD, contact manager. If MD agrees with your decision to NTUC, no further visits are needed. Notify patient. If MD disagrees, an ABN and further visits are needed. 3. If a patient is homebound, plan to see patient for 2-3 visits to: a. Assess, teach and evaluate patients response to teaching. b. If patient truly has no skill and agrees to no further visits, patient needs to mark “B” on the ABN form and sign,. FEE CHANGES FOR MEDICARE BENEFICIARIES 1. Fee change from Medicaid to Medicare: discharge and re-admit patient 2. Retro, fee changes should be avoided. If necessary, change date to actual date or beginning of episode. Utilization Management must first review retro fee changes beyond current episode. 3. When a patient is being fee changed from Medicare to another payor, the clinician needs to complete: a. ABN b. FIF The clinician gives the completed paperwork to the UM Department first After review, the UM staff follows procedure above. Home Health Agency Policies A-126