REFER A PATIENT
Family Home Health Services is committed to providing seamless continuity of care to home bound patients as they transition out of the hospital or other care facility. We work closely with doctors and case managers to make sure that patients are adhering to their plan of care so they can avoid rehospitalization and heal at home where they are most comfortable.
If you have a patient that would benefit from home care, call us to discuss the referral process or visit our physician portal.
ORDERING HOME HEALTH CARE
Two types of documentation are required by Medicare.
Home Health Order
Medicare requires home health agencies to obtain a signed and dated order by the patient’s physician that indicates:
the specific disciplines needed for home health care (nursing, therapy, etc.)
the reason home health care is needed related to diagnosis, injury, illness or decline or change in condition
Face-to-Face Encounter Note
Physicians must determine and document the medical necessity for home health for Medicare beneficiaries. Medicare requires:
the encounter to be performed 90 days prior to or 30 days after the start of care
the encounter to be performed by a physician or non-physician practitioner
the encounter to be related to the primary reason for home health care
the encounter note to show how the patient’s condition supports their homebound status and the need for skilled services
Family Home Health Services accepts Medicare reimbursement for home health care for patients who meet certain requirements. To qualify for services under Medicare, the patient must:
Be eligible for Medicare benefits
Be under the care of a physician who establishes and periodically reviews the Plan of Care
Require skilled nursing or physical therapy on an intermittent basis
Require services which are reasonable and necessary for treatment of the illness or injury
Be homebound, where leaving home requires an extreme, taxing effort
If a patient is eligible, Medicare covers part-time or intermittent skilled nursing services, physical therapy, occupational therapy, speech-language pathology services, medical social services and medical supplies when they are ordered as part of your care. Medicare home health services do not include 24-hour at home care, meals, personal care or homemaker services when not related to an approved Plan of Care.
Additional types of insurance reimbursement are considered and accepted on a case-by-case basis. Personal payment is also accepted for care. Charges or patient responsibility for service and/or products are available upon request. Patients with financial liability shall be notified in writing of any personal responsibility for payment at the time of admission and before the onset of services.