'Applying for a Job Coding for the Home Health Care Business and Expectations'

11:55 Jun 1, 2023 2 1

'Coach Alicia:  This question came in. I was really excited about this because I got to do home health, so that’s near and dear to my heart. But the person had said: Q:  I was interested in applying for a job in home health (and there’s a lot of jobs out there for home health coders) as a coder but was not sure what to expect. Are you able to tell me what is different in home health than say working for a family practitioner.     A:  It is actually very different. What you’re going to find is that the reason that you code is very different. The first thing, note that most people think that home health is only for Medicare patients, geriatric-age patients, but that’s not true. There is a large area of home health that carries all ages. Let’s say a child has digestive disorder and ends up getting a colostomy and there needs to be education and so on and so forth and the parents can’t get the child to the doctor easily. So, the Home Health comes out and does training and education; it doesn’t matter if the kid is 12 or 20 or what we commonly think of it as older. But there is a criterion for home health and this is really important and it will help you understand how home health coding is a little bit different than say what you’re going to see in a general practitioner. The first thing and the most important thing is that the patient has to be homebound. To be homebound doesn’t mean that you can’t get out so say you want to go to church on Sundays. Say you want to try to go once in a while to the beauty salon, get your hair done, things like that. That it’s OK to have a reason to go, but it has to be very difficult for you to be able to go and you rely on others and if those other people are not there to assist you; in other words when you can’t make your doctor’s appointments, it’s very difficult for you to get out and go to your doctor’s appointments. Then your doctor’s appointment comes to you more or less with home health. This is a criterion that’s set up through Medicare and Medicaid. Again, Medicaid will help pay for Home Health, that’s all ages. The other thing is that you need a required skilled care. With skilled care, that means that you need a nurse, a clinician to come and assist you. Or you could have a CNA that comes and assist you. But the key is that it’s not going to be full time. This is a temporary event that’s going to happen. It meant that you need to be put in a skilled facility that’s a longer period of time. Now, very important that you know that to be qualified for home health care, you have to have seen a doctor recently because they’re going to sign off on what… the clinician comes out and RN, the nurse that’s going to come in and be your case worker is going to establish a plan of care on what they feel that you need, they’ll do an evaluation. They’ll write that up, something called an oasis they’ll send it to the doctor for plan of care, then that doctor will sign off and says, “Yeah, I agree with this plan of care.” Then, only an approved home health agency can be used. You can’t just have anybody come in and assist you with home health. Then we’re going to go into more depth of what actually makes home health different. The main thing I wanted you to understand is that it’s only for 60 days at a time. Let’s say they know that probably you’re going to need this for three months not 90 days, but the oasis only extends out for 60 days. The other types of care you’re going to get are things like physical therapy, occupational therapy, and speech therapy. There are lots and lots of examples of things that would incur you needing home health. I’ll tell you some more of those. With all of scrutiny for home health is a lot different than what you’re going to see in a general practitioner’s office or any other area of coding. There are several reasons why. One of those is home health started and hit its peak in the 80s people were getting rich and some of it was out of ignorance and some was out of deliberate fraud and abuse. It wasn’t he’s going to make money off the government. So, the government recognized that it was being abused. In the 90s they really started cracking down and the 2000s it became even harder. The scrutiny was really, really severe. So you’re going to be working with, these are going to be the organizations that are going to be very aware of in home health. You’re going to have RAC Audits, MAC Audits, ZPIC Audits, and MIC. I went ahead and wrote what each of those was. I also put a lot of footnotes here, free to go do your own research.' 

Tags: home care , home health nurse , Home care business , how to start a home care agency , homecare business , Home Health Aide , home care startup , how to start a home health care business , home health care business , starting a non medical home health care business , running a home health care business , owning home health care business , starting home health care business in texas , medicalcodingcert , cco.us , laureen jandroep cpc exam prep , laureen jandroep coding blitz

• boss
• top
• India
• i D meets
• Blueberry Cat
• of
• harajuku
• men s underwear
• mens clothing haul
• sdcc

comments

Post