Page 58 - Clinical Managers Orientation Binder
P. 58

6/28/2019









                               Regulations: Admission

                               Written Notice in Advance of Providing Care


                               Legal Representative:           1.  Visit schedule/frequency of VNSNY
                                                                  personnel
                               Has legal decision making authority
                               designated to make health care decisions on   2.  Medication schedule/instructions – include
                                                                  medication name, dose, frequency and
                               the patient’s behalf               specify which meds are to be administered
                                                                  by VNSNY
                               Patient Selected Representative:   3.  Treatments administered by VNSNY
                                                                  personnel, including therapy services
                               Chosen by the patient and participates in
                               making decisions related to the patient’s   4.  Pertinent instructions related to patient
                               care or well-being. Patient may choose   care and treatment that VNSNY will
                                                                  provide
                               whether or not to identify a Patient Selected   5.  Name and contact information of clinical
                               Representative and which of the notices, if   manager
                               any, for the representative to receive.
                                                               6.  Patient Bill of Rights
                                                               7.  Discharge and Transfer Policies
                               Caregiver:                      8.  Name, address and phone number of
                               Patient selected individual who participates   VNSNY Administrator to receive
                               in carrying out patient care needs (Can also   complaints
                               be Patient Selected Rep)        9.  OASIS Privacy Notice
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                                Regulations:
                                Admission Medicare Coverage Criteria




                               Review of Medicare Coverage Criteria: SHIP


                               • Skilled, Reasonable and Necessary
                               • Homebound
                               • Intermittent (Nursing not Therapy)
                               • Plan of care by ALL Physicians



                               *Face to Face Encounter Medicare AND Medicaid



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