Friday, June 27, 2014

2015 Charge Master is ready for review, check your fees for services here!

Attention all health care owners, we have finalized our 2015 Charge Master based on the average charges and fees for all health care facilities in the Los Angeles County area.  This charge master can be used to validate that your fees are within the normal acceptable range for your services offered.  If not, by all means, raise the price.  With the same token, if your fees are over-flated, then reduce them.  This will help to soften the blow of many denials based on  exaggerated fees comparatively.  Enjoy and let me know what you think!!!

Go to this page:!free-tools/c5ro then you will see a link for the spreadsheet at the here link.

Wednesday, June 25, 2014

authorization to release, assignment of benefits, advance directives, and more all wrapped up into one form!

The days of producing multiple forms to achieve thickness in the medical record ARE OVER.  Its time we begin to consolidate where appropriate, making it easier for our patients to understand and our staff to comply.  Providing consistency in obtaining the correct signatures and the correct times, its paramount in fighting off criticism and potentially full document review with CMS.  

We have attempted to make this easier for you by consolidating all the necessary portions of the patient intake and first assessment necessary items and push them into a single document containing all the necessary parts herein.  Feel free to use ours below, simply select all text, then copy, and then paste to your clean and barren document.  Your staff will love it, I promise.  

I consent to the release of any information regarding my medical condition by any recognized health agency, institution or medical group/office in which I have been a patient, and I authorize the release and/or disclosure or any medical records or information by the preceding to {PLACE THE NAME OF YOUR HHA HERE} and those
involved in my care while admitted to {PLACE THE NAME OF YOUR HHA HERE}. I understand my medical records may be revealed to federal and state accrediting bodies and by the Quality Management/Utilization Review Committees of {PLACE THE NAME OF YOUR HHA HERE}.
Information may not be released about________________________________________
Information may not be released to___________________________________________
I certify that all Medicare, HMO, MediCal, or any other health care payment information given to {PLACE THE NAME OF YOUR HHA HERE} is true and accurate and I authorize {PLACE THE NAME OF YOUR HHA HERE} to request payment on my behalf. I authorize the release of any and all records that may be required to secure payment. I understand I must notify {PLACE THE NAME OF YOUR HHA HERE} immediately of any changes in my medical coverage including Medicare and MediCal. I also understand that if I change insurance coverage while under the care of {PLACE THE NAME OF YOUR HHA HERE}, I will be responsible for any charges not covered as a result of the change in coverage.

Medicare Patients
I understand {PLACE THE NAME OF YOUR HHA HERE} accepts all Medicare Part A and Part В as payment in full for all skilled nursing rehabilitation services and that I will be notified, in advance, if there are any charges for medical equipment and supplies.
Private Insurance, HMO, Self-Pay, Share of Cost, Out-Patient Part В
I am aware that I am responsible to for any non-covered cost, share of cost, or co-pay in consideration for the services I am to receive. All reasonable attempts will be made by {PLACE THE NAME OF YOUR HHA HERE} to collect these payments. Anticipated charges are: $140 per visit/hour for Skilled Need[1] and therapy services (PT, ОТ, ST[2]), $170 per visit/hour for MSW[3], $70 per visit/hour for CHHA[4].

Proposed Services and Frequency of Visits
I have been actively involved in the planning of my care with {PLACE THE NAME OF YOUR HHA HERE} and I understand that the following services and visits will be provided if approved by my doctor:                                                                                                                                                    Nursing ___PT____ОТ____ST___MSW___CHHA____   

I have/have not completed an Advance Directive.
I have a Durable Power of Attorney for Health Care______A Living Will____ A Do Not Resuscitate______
Directive_________________ Other (explain)_______   
__________*I do not know if I have any of the above. I understand that I must provide a copy of any of these documents in order for my wishes be followed by {PLACE THE NAME OF YOUR HHA HERE} regarding my health care.  If I DO NOT KNOW IF I HAVE ANY OF THE ABOVE, THEN THE RN HAS PROVIDED ME EDUCATIONAL INFORMATION ON WHAT THESE ARE AND WHY THEY MAY OR MAY NOT BE OF AN INTEREST TO ME AND MY CURRENT HEALTH CARE.

I have been instructed and given a written notice of the Privacy Act Statement on OASIS to advise me of my rights, principle purposes, routine uses and effect on me if I do not provide accurate information to complete OASIS. I have been given information on the confidentiality and the disclosure of my clinical records maintained by {PLACE THE NAME OF YOUR HHA HERE}. I have been given information on how to retrieve and obtain a copy of my medical record maintained by {PLACE THE NAME OF YOUR HHA HERE}.

Information on:
Safety Information/Emergency preparedness/Infection Control & Universal Precaution/911 Protocol and s/s[5] to Report to MD is given to me on the initial evaluation and on an ongoing basis as needed.

Consent to Photograph
I consent/I do not consent to the appropriate part(s) of my body being photographed by the Agency personnel in order to provide supporting documentation of my medical condition. (I understand that any photographs taken will be placed in and remain part of my medical record)
Health Insurance Portability and Accountability Act (HIPAA)
Permission to Use and Disclose Your Health Information. By signing this consent, you authorize us to use and/or disclose your health information for treatment, payment or health care operations. You have the right not to sign this consent. However, if you refuse to sign this consent, we have the right to refuse to treat you.

Your Rights With Respect to This Consent.
Right to Review Notice of Privacy Practices. You have the right to review a copy of our Notice of Privacy Practices before signing this consent. Our Notice of Privacy Practices details how we may use and disclose your health information. We may amend the Notice from time to time. A copy of our Notice of Privacy Practices is included in your Home Chart.

Right to Request Restrictions on Use/Disclosure. You have the right to request that we restrict how we use or disclose your Medical Record information for the purpose of providing treatment, obtaining payment for our services, and/or conducting health care operations. Such requests must
be made in writing. Please note that we are not required to agree to any restriction you may request. If we agree to any restriction you place on the release and use of your medical record that you have requested, we must restrict our use and/or disclosure of your health information in the manner described in your request.  To request a form, please contact

Right to Revoke Consent. You have the right to revoke this consent at any time. Our revocation of this consent must be in writing. If you wish to revoke  this consent, please contact Lucy Gurman, RN & DON to obtain a revocation form. Note that your revocation of this consent will not be effective for disclosures we have already made in reliance on your prior consent. We also have the right to refuse to provide further treatment if you revoke this consent.  Effective Period. This consent is effective unless and until you revoke it in writing.  I hereby authorize {PLACE THE NAME OF YOUR HHA HERE} to use and/or disclose my health information for treatment, payment, or health care operations.

Patient/Legal Representative Consent/Acknowledgement
My signature will serve to attest that I have received and verbalized understanding of information, materials (where appropriate) and an explanation of
all information provided on this form.
Signature of Patient or Legal Representative:_____________________ Date:_________
{PLACE THE NAME OF YOUR HHA HERE} Representative/staff:________ Date:________

Authorization of Signatures
I certify that I have authorized the person(s) named below to sign for me for all services rendered by {PLACE THE NAME OF YOUR HHA HERE} and other patient health record requiring my

[1] Skilled Need refers to the skills of a licensed health care professional(s) as in Registered Nursing
[2] PT/OT/ST refers to the credentials of physical therapist, occupational therapist, and speech/language therapist
[3] MSW refers to the credential of a medical masters degreed social worker
[4] CHHA refers to the credential of a certified home health aide.
[5] s/s refers to the signs and symptoms