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Applies to: VNSNY Certified Home Health Agency
               Service:  VNSNY Certified Home Health Agency
               Procedure Section: Provider Service Administration
               Number:  CP.181
               Page 3 of 8


                8.  If a visit cannot be made according to requested evaluation date, CFM will notify the
                    referrer and/or physician and the patient if applicable and will document in
                    coordination note.
                9.  After CFM reviews and approves a referral, scheduler assigns licensed professional
                    for initial visit. See First Visit Policy

               Referrals of patients with active pulmonary tuberculosis-see Procedure: IC.106
               Respiratory Protection and Tuberculosis Control Program.

               B.  Total Joint Replacement (TJR) referrals only
                   1.  When RN SOC (RN00) and PT initial evaluation visit (PT01) are scheduled on
                       the same day as the case TJR , RN must communicate with PT to ensure that
                       RN visits the patient first to admit to Home Care
                   2.  If RN cannot make a visit prior to PT, RN/PT must contact CFM and obtain
                       approval for therapist to go in first:
                         a.  If a referral is for a patient post TJR surgery–CFM will give approval. PT
                             must obtain a paper patient’s consent for treatment before initiating care
                             (see CP.178 Consent and Acknowledgement Procedure).
                         b.  All other referrals-PT visit must be rescheduled after RN performs Start of
                             Care.

               C.  Coordination of Equipment and Supplies

               In order to confirm that adequate plans are in place to enable staff to provide necessary
               care and treatments upon initiating service, Intake staff will coordinate equipment and
               supplies with the referrers prior to releasing the case.



















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