Comments for Haydel Consulting Services LLC

Comment on Mandatory Reading by RM

RM — Mon, 07 May 2012 23:57:09 +0000

When our patient has a 30 day and we send the F2F form to the Doc and do not receive it signed within the 30 days (even though the encounter happended timely) we have been discharging and not billing. once we have the form signed we then readmit. Reading what you wrote above it seems that as long as the encounter happended within the 30 days we are OK if the MD takes longer than 30 days to sign the F2F? Can you clarify that for me.

Comment on Attention: Bill Borne, CEO Amedisys, Inc. by Ropes End

Ropes End — Mon, 07 May 2012 22:38:05 +0000

Hmmmmm, from your signature line I’d give it a guess that you are a former QCC???
Well, me too….I just love to read these posts…they enforce what I’ve thought all along…something has gone by the wayside with that company – and the wearing of the Superman costume put the cherry on that sundae LOL!!

Comment on Mandatory Reading by hcsllc

hcsllc — Sat, 05 May 2012 02:23:59 +0000

Okay, now that is tricky. Can you discuss with the MD and remind him of the events that went on prior to home health? I, frankly, do not see a problem with that per se. So, it could also be in writing. Where I get confused is when I consider that the F2F documentation is supposed to a record of his visit with the patient. Were you there?

The MD’s actually may need a little help. I am not sure that I like the sticky note procedure though. It is too close to preparing the documentation for him. However, docs will write stuff like patient is homebound because they don’t go anywhere and they need home health to prevent hospitalizations.

Maybe a better suggestion would be to write a single sheet of paper with instructions on how to fill out the form and then on that same sheet give examples. So, if I give examples of homebound that include language describing functional limitations and shortness of breath and psychiatric status and he is the one who writes the information for the patient, that shouldn’t be an issue. If your careplan is coded correctly, he should have a document right there that states the primary diagnosis and you could even include a copy of your referral sheet.

One of the biggest problems I see is that the MD’s often don’t know what we are doing. Isn’t that funny? Seriously, they will write that the patient requires home health because of one reason and we will actually see the patient for another reason. A patient may have a long standing dx of Alzheimer’s disease and so they need help with wound care. The doc thinks we are seeing the patient for AD but really the skill is wound care. Depending on how picky the reviewer is, it really does make a difference.

Furthermore, the doc could say, ‘see attached’ and attach a hospital discharge summary if it included all the necessary components. There is no law that says a particular form must be used.

I am so impressed that you have a doc who is even willing to participate in the process. That’s how low my standards have dropped when it comes to face to face encounters:)

Comment on Mandatory Reading by Libby Werchan

Libby Werchan — Sat, 05 May 2012 02:23:30 +0000

Amen!!!! That’s all I have say

Comment on Mandatory Reading by Dwelia Boyce

Dwelia Boyce — Fri, 04 May 2012 20:14:39 +0000

It is amazing how you always seem to speak to the dilemma I am in, but I still want to ask you this question so that I can cover my license and have documentation that what I was told was far from the truth. It is ok for a Clinical Supervisor to put sticky notes on the f2f to tell the physician why they sent the patient to homecare. When I was told to do it, I was also told they checked with Medicare and they said it was ok

Comment on Thanks, HEALTHCAREfirst! by Bobby Robertson (@Bobbyrob)

Bobby Robertson (@Bobbyrob) — Tue, 01 May 2012 12:57:30 +0000

Hi Julianne,
You’re welcome! Our many customers, friends and consultants created a wonderful venue to learn and plan for competitive positions going forward.
We appreciate all you do!
Bobby

Comment on Finding Mr. or Ms. Right by Sue Hull

Sue Hull — Tue, 17 Apr 2012 04:15:32 +0000

I think one of the signs of a good leader is that the the leader is preparing someone to replace her/himself. The leader who is compelled to make her/himself irreplaceable and indispensible is not doing the company a favor.

I liked your list of questions. They reveal a lot!

Comment on Attention: Bill Borne, CEO Amedisys, Inc. by once burned twice shy

once burned twice shy — Thu, 12 Apr 2012 01:06:58 +0000

I wish Bill Borne was more active in the field & he could witness for himself how the small offices were being operated. It is so sad that a company with such advertisements of having “core beliefs” is not the reality. It is sad that really good field staff can be “taken advantage of” by being replaced by younger staff as the pay per visit increases for the staff that has “been around” a while. You suddenly become a number with this company as you age. Do not dare call the HR hotline, it puts you on the fast track to unemployment. BEWARE of Amedimonster if you are looking for a long career because this company will chew you up & spit you out. Message to Bill: Please pay closer attention to employee surveys.

Comment on Thanks to All! by Barbara Cleland

Barbara Cleland — Tue, 10 Apr 2012 13:57:08 +0000

Excellent Article…and you are very correct in saying that Kathleen Sebelius, the lobbyists and politicians should come to the “Bayou” to see what Home Care is really all about….obviously they don’t have a CLUE !!!

Comment on Skilled Charting by hcsllc

hcsllc — Sat, 07 Apr 2012 04:37:14 +0000

Ben, this is good, I think. I do not know what closed chain means in this context. I do know what 10 reps of leg extensions are and often wonder the skills of a therapist are required for that. So, if this is a skill that is special to physical therapists, it is excellent. Took a little longer than the bad choice. But in front of an administrative law judge, you would prevail. The judge could easily ask why the patient couldn’t watch the fitness channel if all he needed was a home exercise program. But to the best of my knowledge there are no 30 minute work out shows that address stabilization of a left (or right) hip. Great example.