Medicare

Medicare and Skilled Services

• Skilled services (nursing care and therapies) for short term episodes of care for a homebound patient with improved outcomes goals

• Medicare – if individual does not have primary health insurance
• Health insurance – if qualified for skilled services (see requirements below)
• Medicaid – if qualify for skilled services (see requirements below) and have Medicaid

• Home bound status
• Allow patient to leave home for medical, religious, and grooming
• Skilled need (nursing and / or therapies)
• Doctor’s orders
• Outcome improvement goal

• Nursing
• Therapies (physical, occupational, speech)
• Social work
• Bath aide
• Not intended to provide caregiver service

• Visits

• Maximum 60 day episodes of care
• Recertification possible, generally <20% of admissions
• Not intended to be long term care

• Honeywell Home Health monitoring system
• Collects individual’s vital signs and health status information daily to improve outcomes, provide preemptive care and reinforce compliance
• Internal rehab (therapies) manager and department