Black Box of Home Care Quality: Hearing Before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, Second Session, July 29, 1986U.S. Government Printing Office, 1987 - 232 pages |
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Page 7
... reimbursement fraud and abuse . Although Medicare conditions of participation provide standards for the delivery of home health care , these standards have been criticized as only providing " paper " compliance . Further , federal ...
... reimbursement fraud and abuse . Although Medicare conditions of participation provide standards for the delivery of home health care , these standards have been criticized as only providing " paper " compliance . Further , federal ...
Page 12
... reimbursement through Medicare and Medicaid . This monitoring activity is to be implemented no later than one year after the enactment of this Act . b . C. d . e . The administration and evaluation of home health quality assurance ...
... reimbursement through Medicare and Medicaid . This monitoring activity is to be implemented no later than one year after the enactment of this Act . b . C. d . e . The administration and evaluation of home health quality assurance ...
Page 19
... reimbursement . Shorter hospital stays however are not necessarily bad and do not always reflect poor quality care if there is a continuum of posthospital services available to insure a successful recuperation from an illness . Home ...
... reimbursement . Shorter hospital stays however are not necessarily bad and do not always reflect poor quality care if there is a continuum of posthospital services available to insure a successful recuperation from an illness . Home ...
Page 20
... reimbursements to home health care agencies , are being spent wisely . It is our duty to determine whether or not the ... reimbursement levels are severely re- stricting the ability of these agencies to maintain their very best care . I ...
... reimbursements to home health care agencies , are being spent wisely . It is our duty to determine whether or not the ... reimbursement levels are severely re- stricting the ability of these agencies to maintain their very best care . I ...
Page 22
... reimburse- ment rate so low ? What more should we do ? What more can we do without being fiscally irresponsible ? private industry in this process ? What is the proper role of Again , Mr. Chairman , thank you for calling this hearing ...
... reimburse- ment rate so low ? What more should we do ? What more can we do without being fiscally irresponsible ? private industry in this process ? What is the proper role of Again , Mr. Chairman , thank you for calling this hearing ...
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Common terms and phrases
accreditation Administration adv gr American Bar Association assessment beneficiaries bill certification CHAIRMAN client client/patient conditions of participation CONGRESS THE LIBRARY Consumer rights cost denial Department of Health developed disabled elderly ensure evaluation Federal funds HCFA hearing home care agencies home care providers home care quality home care services home health agencies home health aide home health benefit home health care home health services home help homebound homemaker hospital in-home involvement mandated KERKEY Law Implemented History LIBRARY OF CONGRES LIBRARY OF CONGRESS licensed Licensure long-term Medicaid Medicare Medicare home health minimum monitoring nursing home occupational therapy Older Americans Act Ombudsman PARAPROFESSIONALS patient percent person personnel physical therapy physician problems professional quality assurance quality of home receive regulations reimbursement requirements sanctions Services Block Grant services provided skilled nursing Social Services Block staff standards supervision Thank therapy visits
Popular passages
Page 114 - extended care services" means the following items and services furnished to an inpatient of an extended care facility and (except as provided in paragraphs (3) and (6) ) by such extended care facility — ( 1 ) nursing care provided by or under the supervision of a registered professional nurse; (2...
Page 119 - ... (1) secure and maintain maximum independence and dignity in a home environment for older persons capable of self-care with appropriate supportive services; and "(2) remove individual and social barriers to economic and personal independence for older persons. "DEFINITIONS "SEC. 302. For purposes of this title — "(1) The term 'social services...
Page 64 - The National Homecaring Council also developed, under contract to the US Public Health Service, a model curriculum and teaching guide for the instruction of the homemaker-home health aide in 1978.
Page 114 - Medical supplies (other than drugs and biologicals) and medical appliances. The Medicare law limits payment for home health services to those beneficiaries whose conditions are of such severity that the individuals are under the care of a physician, confined to their...
Page 20 - Mr. Chairman, I have a statement I would like to submit for the record, but I would prefer to talk off the cuff about these pertinent problems.
Page 64 - Few have paid vacations or holidays, and even fewer have paid health insurance coverage. We have not given adequate attention or recognition to the persons who provide this vital service; in fact, in many respects we have exploited them. We have sown seeds for a potential scandal. We have ignored the escalating human needs of paraprofessionals while we have continued to delegate more care to them, and to place more demands on them. In June, 1985, the Rensselaer County (New York) long-term care coordinating...
Page 158 - ... (b) Standard: Clinical record review. At least quarterly, appropriate health professionals, representing at least the scope of the program, review a sample of both active and closed clinical records to assure that established policies are followed in providing services (direct services as well as services under arrangement).
Page 64 - ... The issue of standards for paraprofessionals in home care Is not new. To deal with the problem, the National Homecaring Council has promulgated national standards for homemakerhome health aide services, and has administered an accreditation and approval program based on those standards sine* 1962.
Page 158 - If a physician refers a patient under a plan of treatment which cannot be completed until after an evaluation visit, the physician is consulted to approve additions or modifications to the original plan. Orders for therapy services include the specific procedures and modalities to be used and the amount, frequency, and duration. The therapist and other agency personnel participate in developing the plan of treatment.
Page 198 - Right of inspection.— Any duly authorized officer or employee of the department shall have the right to make such inspections and investigations as are necessary in order to determine the state of compliance with the provisions of this act and of rules or standards in force pursuant thereto The...