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Disclosures:
Freedom of Choice
According to Federal law, home health care patients
are free to choose which institution, agency or
person will provide their home care services.
Section 1802 of the Social Security Act "seeks to ensure
that free choice is guaranteed to all Medicare
Patients." The law states: "Any individual entitled to
insurance benefits under this title [i.e., Medicare] may
obtain health services from any institution, agency, or
person qualified to participate under this title if such
institution, agency, or person undertakes to provide him
such services." This statement gives patients freedom to
choose whom they want as their provider of post-hospital
services.
So if your doctor recommends home health care for you or
a loved one, ask for A+ Home Health!
Selecting the right home health agency
Learning as much as you can about a home care agency is
the best way to determine which agency is best for you
or a loved one. Following are some questions you should
ask perspective home care providers about the services
they offer.
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How long has the agency and staff been serving the
community?
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Is
the agency certified by Medicare?
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Is
the agency licensed by the state?
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Does the agency assign supervisors to oversee the
quality of care patients are receiving in their
homes?
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What procedures are in place to handle emergencies?
Are the agency caregivers available 24 hours a day,
seven days a week?
The following criteria determine if you may be eligible
to receive home health care under your Medicare
benefits:
-
You must require intermittent skilled nursing care,
physical, speech, occupational therapy or medical
social services.
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You must be homebound.
-
You must be currently under a physician's care. All
home health services must be ordered by your
physician.
Medicare guidelines
In order to qualify for home health services under
Medicare, the patient must:
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Be
eligible for Medicare benefits
-
Be
under the care of a physician who establishes and
periodically reviews the plan of care
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Require skilled nursing on an intermittent basis or
physical therapy or speech (or occupational therapy)
for on-going services
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Require services reasonable and necessary for
treatment of the illness or injury
-
Be
homebound
Definition of homebound
-
The patient's condition must be such that leaving
the home requires an extremely taxing effort.
-
In
most instances a "homebound" patient's absence from
home will occur for the purpose of receiving medical
treatment.
-
Absences are infrequent, are of relatively short
duration and do not indicate that the patient has
the capacity to obtain health care provided outside
rather than inside the home.
-
If
patient's condition, due to an illness or injury,
restricts the patient's ability to leave home except
with the aid of supportive device: cane, wheelchair,
walker, maximum assistance of another person.
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If
patient's condition is such that leaving home is
medically contradicted.
-
Any absence for religious services is deemed to be
an absence of infrequent or short duration, and thus
does not negate homebound status.
Reimbursement for home health services is contingent
upon the claimant being "confined to home." (5240.1)
Failure to meet these guidelines means that the
individual is unable to receive home health services
under Medicare benefits.
Nondiscrimination Policy
As a recipient of Federal financial assistance, A+ Home
Health, LLC does not exclude, deny benefits to, or
otherwise discriminate against any person on the grounds
of race, color, or national origin, or on the basis of
disability or age in admission to, participation in, or
receipt of the services and benefits of any of its
programs and activities or in employment therein,
whether carried out by A+ Home Health, LLC directly or
through a contractor or any other entity with whom A+
Home Health, LLC arranges to carry out its pro-grams and
activities. This statement is in accordance with the
provisions of Title VI of the Civil Rights Act of 1964,
Section 504 of the Rehabilitation Act of 1973, the Age
Discrimination Act of 1975, and Regulations of the U.S.
Department of Health and Human Services issued pursuant
to the Acts, Title 45 Code of Federal Regulations Part
80, 84, and 91.
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