- Home Care Help Center
Home Care Help Center
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An assessment completed when a patient is admitted to a home health agency.
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
Used by agencies that require physician approval for the plan of care every 60 days.
Used by agencies that require physician approval for the plan of care every 60 days.
Used by agencies that require physician approval for the plan of care every 60 days.
Used by agencies that require physician approval for the plan of care every 60 days.
An assessment completed when a patient is admitted to a home health agency.
An assessment completed on a Home Health patient following an inpatient facility stay of 24 hours or longer for reasons other than diagnostic testing.
An assessment completed when a patient is admitted to a home health agency.
An assessment completed on a Home Health patient following an inpatient facility stay of 24 hours or longer for reasons other than diagnostic testing.
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
A payment model in which billing and payment for services are unbundled. This payment model incentivizes more treatments because payment depends on the quantity of care, rather than quality of care.
A security account allowing the user to log in to Home Care. Also called user account.
Determines access in Home Care.
Determines access in Home Care.
A security account allowing the user to log in to Home Care. Also called user account.
Determines access in Home Care.
A list of items, such as emails or IP addresses, granted access to a certain system or protocol. All entities are denied access, except those included in the allowed list. An outdated term for this is blacklist.
Software allowing IT administrators to
configure security policies on the MDM server and push the policies to managed devices such as smartphones, tablets, and other endpoints.
deploy applications to managed devices through the MDM server.
An electronic file containing resident claims providers submit to payers for reimbursement.
A configurable list of terms that appear in the product user interface. The items in the lists are customized to the specific needs of an organization or agency.
An application programming interface defines the interaction between systems and provides a seamless integration and exchange of information between them.
A security account allowing the user to log in to Home Care. Also called user account.
In the HL7 standard, BAR messages add or change the resident's billing account information.
A HISP provides the backend technical work to securely send and receive your data transmissions and exchanges.
A short document to support you in complex or infrequent tasks. Not intended to provide every step in a process.
An electronic transaction that provides claim payment information to agencies.
A type of claim form used for billing.
Activities needed for self-care: bathing, dressing, mobility, toileting, eating, and transferring.
A legal document related to life-sustaining treatments, prepared by the resident or representative when the resident is competent and able to make decisions. The advance directive informs the medical personnel about the treatment and care preferences if the resident becomes incapacitated.
A notification triggered or created to alert staff of a change in a resident's condition or status.
Exposure to a foreign substance that causes the immune system to react abnormally.
The evaluation of the needs and abilities of a resident based on observation, tests, and performance.
Measurable objectives and timetables to meet a resident’s needs and provide direction for individualized care.
A document containing the interventions used to meet the resident's needs.
A codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the Federal Government. The CFR is divided into 50 titles that represent broad areas subject to Federal regulation. Each title is divided into chapters that usually bear the name of the issuing agency. Each chapter is further subdivided into parts covering specific regulatory areas. Large parts may be subdivided into subparts. All parts are organized in sections, and most citations to the CFR will be provided at the section level.
Document used to share summary information about a patient between providers within the broader context of the personal health record.
Identifies the role for professional and resident contacts.
The identification of the nature of an illness or other problem by examination of the symptoms.
Exchange of electronic business data in a standardized format between trading partners.
The cause(s) of a disease or condition that affects a resident.
A payment model in which billing and payment for services are unbundled. This payment model incentivizes more treatments because payment depends on the quantity of care, rather than quality of care.
A federal agency within the United States Department of Health and Human Services.
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
A set of international standards for transfer of clinical and administrative data between software applications.
Codes and descriptive terms used for reporting services and procedures to Medicare.
A national survey of home health care patients' perspective of their skilled home care.
ICD-10 codes are alphanumeric codes developed by the World Health Organization (WHO) used by doctors, health insurance companies, and public health agencies across the world to represent diagnoses.
A unique 10-digit identification number issued to health care providers by the Centers for Medicare and Medicaid Services (CMS).
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
Reporting required under Section 6106 of the Affordable Care Act (ACA). Under the ACA, long term care facilities must submit information about staff working in direct care.
The electronic portal through which providers enroll in Medicare.
Used by agencies that require physician approval for the plan of care every 60 days.
As needed. For example, PRN medications, treatments, tasks, or interventions that are documented as needed.
A method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount.
Every shift. For example, QShift medications, treatments, tasks, or interventions that must be documented every shift.
Determines access in Home Care.
A long-term care facility for residents who require post-acute care.
You can build Structured Progress Notes (SPNs) in the Custom Assessments Library, including assessment responses, resident profile information, scores, and score categories. The SPN information pushes to the Prog Note tab of a resident's chart on completion of the assessment.
The standard form used to bill medical claims.
An association of health information management (HIM) professionals worldwide.
A suite of software products to help State Agencies collect and manage healthcare provider data.
Reports to know where the agency stands in regard to its 5 star rating, Quality Measures, and more.
The Medicare Provider Number for a agency.
An independent, non-profit accrediting body that publicly certifies that an organization has voluntarily met the highest standards of excellence for home and/or community-based health care.
A federal agency within the United States Department of Health and Human Services.
Standardized format for electronically creating OASIS data records to be sent to state agencies.
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
Medical care provided to clients in a home-based setting. This care is part-time, medically necessary skilled care (nursing, physical therapy, occupational therapy, and speech-language therapy) ordered by a physician.
A company that provides home-based health care to clients.
Medicare pays home health agencies (HHAs) a predetermined base payment. The payment is adjusted for the health condition and care needs of the beneficiary. The payment is also adjusted for the geographic differences in wages for HHAs across the country.
A company that provides home-based health care to clients.
A program from the Centers for Medicare & Medicaid Services (CMS) that provides evidence-based educational tools and resources to help you improve the quality of home health care provided.
LUPA occurs when 4 or fewer visits are provided in a 60 day episode. Instead of payment being based on the Health Insurance Prospective Payment System (HIPPS) code, payment is based on a national standardized per visit payment by discipline instead of an episode payment for a 60 day period.
A private health care insurer that is awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
Replaces the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status.
The Centers for Disease Control and Prevention (CDC)'s most widely used healthcare-associated infection tracking system.
Coordinates the development of a uniform terminology, test methods, and reporting standards for support surfaces. The guidelines provide objective methods for evaluating and comparing support surface characteristics.
A membership organization that promotes patient protections and healthcare quality through measurement and public reporting.
A payment adjustment made when a client transfers to another HHA or is discharged and readmitted to the same HHA during the 60 day episode.
A managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients.
Pay-for-reporting performance requirement measured through the use of a simple formula. Only those OASIS assessments that contribute, or could contribute, to creating a quality episode of care are included in the calculation.
A group of standard data elements. The OASIS contains data elements developed for measuring patient outcomes for performance improvement.
The CMS system for survey and certification of providers.
A set of health home quality measures. These quality and utilization measures are used for ongoing monitoring and evaluation purposes across all state health home programs.
A systematic, comprehensive, and data-driven approach to maintaining and improving safety and quality.
The first bill sent to Medicare that is usually billed at the beginning of a certified home health episode.
A private company that contracts through Medicare to pay bills under the guidelines of original Medicare. RHHIs also investigate the quality of home health care services.
An office that is in charge of several local offices or agencies in 1 geographic area.
An assessment completed on a Home Health patient following an inpatient facility stay of 24 hours or longer for reasons other than diagnostic testing.
A major decline or improvement in a resident’s status that does not normally resolve itself without intervention.
An assessment completed when a patient is admitted to a home health agency.
A professional international nursing society of more than 5,000 health care professionals who are experts in the care of patients with wound, ostomy, and incontinence.
The mobile app for Home Health from PointClickCare.
A tool used to assess a resident's condition over a period of time as designated by each question. This tool is used in the state of Massachusetts.