Progressive Home Care Description: Progressive Home Care has a qualified team of nurses, homemakers, and therapist to meeet your healthcare needs in the home. Contact: Ernestine Howard, MSN, RN, Director Number: (251) 743-7327 or 743-7328 E-Mail: ehoward@mchcare.com MEDICARE HOME HEALTH REFERRAL CHECKLIST Medicare's definition of "HOMEBOUND": The patient must experience an inability to leave home. Their physical condition and/or physical limitations are such that it would be a considerable and taxing effort for them to leave home, i.e. requiring the assistance of others and/or supportive devices. Non-medical absences from the home must be infrequent and/or of short duration. SKILLED NURSING visits are considered skilled/reimbursable by Medicare for: OBSERVATION/ASSESSMENT TEACHING/TRAINING TRACHING/TRAINING Including, but not limited to .. . Including, but not limited to .. . Including, but not limited to .. . • Circulatory changes Bowel/bladder training Calcimar injections (with appropriate diagnosis & labs) • Edema Diabetic care Cartheter changes • Exacerbated diagnosis Disease process Anodyne treatments • Fluctuating vital signs Enteral/Parenteral feedings IM/ SQ/ ID injections • Initiation of medical gases Injections Insulin injections • New diagnosis Intermittent catheterization IV infusions • Post-hospital follow up evaluations Medication regimen NP/ Trach suctioning Ostomy care Ostomy care • Respiratory changes Reportable signs & symptoms Tube feeding • Symptoms of drug toxicity Specified procedures Wound care • Weight changes Wound care PHYSICAL THERAPY is comsidered skilled / reimbursable if the level of need requires intervention by a trained therapist when the patient has difficulty getting in/out or repositioning in bed, walking (inside or outside), going up or down steps, standing / sitting, or getting on/off toilet or bedside commode OR Patient has: Contractures or pressure areas Decline in function related to stroke, pain, arthritis, amputation, etc. Equipment needs History of falls Limited ROM, decreased sensation or strength Poor safety awareness Shortness of breath with activity If you have pain due to poor circulation, try our Anodyne Therapy treatment in the comfort of your home! HOME HEALTH AIDE serivecs can be provided to a patient requiring assistance with activities of daily living if they are also receiving skilled services (nursing or physcial therapy) and has problems with: Bathing • Exercising • Transfers & Ambulation