Page 71 - Business Development Orientation Binder

Applies to: VNSNY Certified Home Health Agency
Service: VNSNY Certified Home Health Agency
Procedure Section: Provider Service Administration
Number: CP.181
Page 1 of 8

TITLE: ADMISSION TO HOME CARE

PURPOSE:
To delineate standards and a process by which patients are evaluated and accepted for
admission.

PROCEDURE STATEMENTS:

• Submission of a referral does not constitute acceptance of that referral by the
agency.
• All referrals are evaluated to determine that patient meets VNSNY admission
criteria (see Policy Admission to Home Care) and that the services requested are
consistent with VNSNY Home Care policies and applicable payer guidelines.

PROCEDURE:
A. Acceptance of Referrals

1. A referral begins with a request of VNSNY Home Care to provide a specified
service(s) to an identified patient in his/her home.

2. Referrals can be submitted to a VNSNY by phone, by fax, or via ePlatform, email or
on paper.

3. All referral are initially in Pending Referrals Status until approved by Clinical Field
Manager (CFM).

4. All referrals must be screened for adequacy of information and appropriateness of
care requests. Intake staff will review all referrals in pending status on daily basis
according to request for evaluation date.
a. Intake Associates (IA) receives Pending referrals and enters the following
information: Branch/Boro; First/Last Name; Gender DOB; Referral Date; Care
Type; Service; Service Location and Care Type
b. Branch Intake Coordinator (IC) audits data entries and completes the
following : payer, physician, contacts, referral source and diagnosis
c. Home Care Consultant (HCC)

Responsibility: Quality Management Services-Homecare
Procedure date:
Revised: 06/2015, 12/2016, 12/2017, 12/2018
Approval: Senior Vice President, Patient Care Service