Home Care Referral Considerations
Things to keep in mind:
- Homecare is meant for short-term, intermittent care of patients
- The patient’s insurance dictates what homecare can provide and must follow regulations for payment
- Wound care needs to be skilled, medically necessary and medically appropriate according to evidence-based best practice needing nursing oversight
- Specific examples of non-skilled wound care include:
- Applying topical ointment
- Dry dressing only
- Wet to dry dressings
- Application of pressure wraps with no open wounds
- To provide comprehensive care, please notify any other physician active in patient care of your referral to homecare
Insurance considerations:
Medicare/Medicare HMO patient must be homebound (trouble leaving home without help [e.g., using a cane, wheelchair, walker, or crutches]; needing special transportation; or requiring help from another person) because of an illness or injury, or leaving home isn't recommended because of condition, normally unable to leave home because it's a major effort
Membership in AHP makes good business sense, as our negotiations result in contracts that return significant dollars to your practice.
Beyond providing outstanding clinical care and access for your employees, AHP can reduce unnecessary expenses to your healthcare plan.
AHP boosts the power of your healthcare plan. We connect you with the providers you need, and enable you to get better care.
