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ADLS : dependent in all ADLs; frequently agitated; occasionally delusional. Bathing patient now requires two individuals due to heightened agitation. INTERVENTIONS: patient needs additional HHA time due to inability to perform all ADLs, previously she was able to assist with ADLs.
In fact, research published by the Centers for Medicare & Medicaid Services reported that nursing home residents were 14 times more likely to be diagnosed with COVID-19 than those living elsewhere in their community. By staying in the home, seniors are exposed to significantly fewer communicable diseases and related health risks.
When you don’t document, Medicare doesn’t pay. Think of it this way, if Medicare repeatedly denies payment, then you might not get that raise you deserve. Document using hospice scales: Medicare uses scales to determine eligibility. Therefore, your documentation should tell the patient’s story. This could result in a deficiency.
Now, for those of us in home care, you know, we know original Medicare is not a payer for us. Is this a, a safe home environment or this client to live in, you know, a thorough fall risk, but really a good look around the home and, you know, how can they do their ADLs? Are they safe? Do they need any equipment?
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