Page 17 - Homecare Homebase: Skilled Nursing Training Manual

Ordering Rehab Services

• Nursing admission visit:
a. Choose Pathway “Need for other disciplines”, indicate which discipline
b. Save the order
c. Plot ONLY the evaluation visit on the calendar and attach “01” service code for the needed discipline
(PT01 for Physical Therapy; OT01 for Occupational Therapy; or ST01 for Speech Therapy).

• Subsequent visit:
a. Complete a New Order and choose “Physician Order” for the specific Rehab service.
b. Add reason for referral in “Instructions”
c. Add the ONLY the evaluation visit to the Calendar and attach the appropriate service code.

Lab Orders

Lab orders will always be entered outside of the visit.

Menu Find Patient, select
(3 dots/snowman) Medical Records any visit Features New Orders
• Lab orders entered into HCHB will flow directly to Apex Labs as soon as you finish the order.
• Labs must be ordered separately from other orders. When entering the New Order, select the order type “Lab
Order”.
• Add a Lab Order in the New Order Screen.
• Remember to add text to “Instruction” field:

o Laboratory specimen(s) being ordered
o Diagnosis/ICD 10 code for the ordered lab(s)
o Frequency: e.g. daily, weekly, every # of weeks
• Days the lab should be drawn
o Labs cannot be drawn on Sundays
o No standing orders on Saturday
• Start date
• End date, if indicated
• Fast (should patient fast before lab): Yes/No
• STAT service is available Monday -Friday for lab orders place BEFORE 10am

o Tests that meet the STAT criteria are: CBC ,INR , etc...
o Non-STAT lab tests
 Urine Culture
 Stool tests
 PSA
 LIPIDS
• Time Lab should be taken
• Comments (e.g., use side door to access the home.)
• Lab Results will flow back into HCHB via a “Lab Results” Coordination Note
*Contract Admin (OPS) follows up with APEX on all orders that flow through via HCHB to check receipt. They will notify
the nurse if there is a problem with the order.

HHA Processes

HHA Initial Order at SOC

CLINICIAN adds HHA discipline from Med/Surg Pathway
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10/1/2018