home health sales terminology
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22 Terms
Episode
Start of care to recertification/discharge
PT’s
Physical therapist
Sources of referrals
Bored and care
Administrator
Sources of referrals
Doctors offices
– Physicians
– Physicians assistance
– Head nurse/supervisor
Sources of Referrals
hospitals
– Case managers
– Discharge planner
– Social service services
Sources of referrals
Assisted living facilities
Patient care coordinator
What is R.O.C?
Resumption of care
When the patient gets readmitted to the hospital or SNF during the certification period, treatment may just continue or be readjusted.
What is S.C.O.C?
Sudden change of condition
L.U.P.A
Low utilization payment adjustment
What insurances are accepted?
Medicare, Medicare advantage, IEHP, Blue Shield and PPO plans
What are outcomes?
Feedback/results from transmitted reports
What does N.O.M.N.C
Notice of Medicate non coverage
What is recertification?
Patient’s treatment needs to be extended goals, not met, new problem, or ordered by physician
What are comfort admissions?
Care within 48 hours
Pain
Medication teachings
Need DME
Skin treatment
What is home care?
Private caregiving companions/companies
What is export?
Transmitting data to Medicare
What are elective admissions?
Specific date SOC