I recently had a somewhat similar question and reached out to the Nurse consultant at MHCA. It was regarding homemaking only services for a client though. I would think that
for a skilled service (nurse administering an injection) it WOULD be required.
See my question and response below.
Thanks!
Hi Holly,
Homemaker services do not require OASIS or a face-to-face so you should be okay to bill without the f2f visit.
Great question! Take care,
Vickie
Vickie Brand, BSN, RN, PHN
Medicare Nurse Consultant
Minnesota Home Care Association
nurseconsultant@mnhomecare.org
Mission:
MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision:
MHCA will shape the home care landscape to improve and sustain quality home care services.
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Minnesota Home Care Association
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Someone submitted a custom form (Nurse Consultant Questions) on 10/27/2021 at 10:17:04 AM.
Holly Last Name Wallace Email Address Organization Madelia Health Hospital Home Care Phone 5076423255 Question Hello! We have an interesting situation we would like your guidance on. We received a referral for a Medicaid
client needing no skilled services only homemaking 1-2 times per week. We are having trouble getting him an appointment at the clinic for a face to face within 30 days of admission. We are reaching out to the clinic to explain the importance of a timely appointment.
Then we got to wondering if the face to face is necessary since the client is not receiving a skilled service. We were told in our last survey with The Joint Commission in February of 2021 that clients without skilled needs do not need Oasis assessments and
face to face assessments (this was discussed in the setting of private pay consumers though). Can you please provide some guidance on this situation? And what happens if we are unable to meet the 30 day after admission timeline? Thanks in advance! We so appreciate
this service! My question is related to this part of my agency: Medicare Certified with Comprehensive License |
Holly Wallace RN
Home Care Director
Madelia Health | 121 Drew Ave. S.E. | Madelia, MN 56062
Phone: 507-642-3255
| hwallace@madeliahealth.org
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www.madeliahealth.org
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From: comprehensivecompliance@list.mnhomecare.org <comprehensivecompliance@list.mnhomecare.org>
On Behalf Of Hespe, Linda J
Sent: Thursday, November 4, 2021 2:23 PM
To: Jenifer Baker <jbaker@firstatmn.com>; comprehensivecompliance@list.mnhomecare.org
Subject: RE: Certifying MD and F2F question
I think face to face is only required for Medicare or Medicaid payers.
Linda Hespe RN, MBA
Director
Essentia Health Home Care and Hospice West
114 Frazee Street East Detroit Lakes, MN 56501
P: 218-314-7806 F: 218-847-0850
Linda.Hespe@EssentiaHealth.org
www.essentiahealth.org
From: comprehensivecompliance@list.mnhomecare.org <comprehensivecompliance@list.mnhomecare.org>
On Behalf Of Jenifer Baker
Sent: Thursday, November 4, 2021 2:15 PM
To: comprehensivecompliance@list.mnhomecare.org
Subject: Certifying MD and F2F question
WARNING: This email originated outside of Essentia Health. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe.
Is it my understanding that being a Medicare Certified agency that regardless of the patients that we accept, even when private pay, we are still required to have a PECOS certified practitioner as well as a F2F encounter?
I had a strange call and the person continued to try and tell me that since it was private pay, they didn't need to send a face to face encounter? Is this maybe for non-medical home care agencies? They are wanting 4 injections to be given
by a nurse and to pay privately for them, I am just confused now why a face to face or certifying MD wouldn't be required.
I suppose I am just asking for confirmation to ensure I'm not misunderstanding something here.
--
Jenifer Baker, OTR, PTA, COS-C
Agency Director
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN 55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214
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