Recover Care Communities Client Services and Billing Rates

Purpose: 


Regulation: N/A
Policy: N/A

Measurement:

  1. 100% of clients are receiving appropriate nursing visits and oversight, as well as being billed correctly for services provided.

Process:

Recover Care Client Definitions and Charges

Client Status

Examples of Tasks

Requires SP?

Compliance Requirement and Billing

Accountable

Active

HHA / Hands On 

  • Bathing, grooming, dressing
  • Medication Setup
  • Medication Assistance
  • Bathing Assistance
  • Foot Care
  • INR
  • Ambulation and Exercise
  • Lifting, turning, positioning
  • Any nursing task or nursing delegated tasks, as indicated by the Registered Nurse 

Yes

  • Initial Comprehensive Assessment ($125/Visit)
  • Reassessment Every 90 Days ($75/Visit)
  • Ongoing monitoring, PRN support, and care coordination ($25/15-minutes)

RN

Active

No Hands On

  • Homemaking Services
  • Meal Delivery / Escort
  • Laundry
  • Pet Care
  • Transportation

Yes

  • Initial Comprehensive Assessment ($125/Visit)
  • Reassessment Every 90 Days ($25/Visit)
  • Ongoing monitoring, PRN support, and care coordination ($25/15-minutes)

RN

Prospect

  • Interested in Services
  • No current need

No

  • No compliance requirements
  • Should be treated like a sales lead
  • Administrator should check in at least quarterly along with other sales initiatives

Administrator

On Hold

  • No current services
  • Client may be on-hold due to hospitalization, vacation, not currently needing services

Confirm Accuracy when Reactivates

  • No ongoing reassessment or charges, but requires RN reassessment within 5 days of reactivating ($75/visit)

RN