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Why was only 1 visit needed in the first week and then 3 the next? It needs to be obvious and well documented why this happened and should be avoided if at all possible. Weekend visits should be reserved for daily care needs and new SOCs. Thursday SOC is better because you can see again Friday and then Monday the following week. If the patient meets all of the criteria, then you have to consider the skilled need.
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Just out of curiosity, how do you all right it so that the person going on the visit doesn't go then, but instead starts on the next week? I know this issue is probably an issue mostly on recerts on the first week rather than new admits. I would look at that last week and see how many visits you need and word it accordingly. Are you going to recert the person or are you closing them? Billers aren't exactly the best people to ask about when wording your orders... Continuity of staff also helps create a better plan and flow whenever possible.
You can also turn to our support team for the same purpose. Enjoy your life while we're working on your order. If you have problems with your payment, feel free to get in touch with our support team. This order is for as needed visits 1 to 2 times per week for 2 weeks for a specific symptom with a specific period of time.
Make sure that your QOW frequency is an even number as you can't do QOW with odd numbers. For an entire episode, 1W1, QOW8 or if recert, QOW8, 1W1 . Either way, you have to make sure that your final visit of the frequency is in the window for recert, so make sure you plot it out on a calendar before you send out the 485. There is a lot of info out there to support not using a zero frequency, and you could certainly justify the argument against them to a surveyor. I know in all the teleconferences I have listened to and material I have read...NO "0" frequencies.
You’ll need to assure them that your purpose is the assess their situation and help them and you don’t need to be entertained. The second visit usually reveals more because the patient is more receptive and less inclined to feel the need to be the good host. So, a second visit is recommended to be 1-2 days after the SOC.
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