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DESK REFERENCEHome Health
and Hospice complete guide to OASIS,
HIS and quality management2020
OH×OHH20×CVR. Indy 1Power up your coding
optum360coding.com11/19/18 3:44 Contents
Introduction .....................................................................................................................................
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How to fill out home health and hospice

How to fill out home health and hospice
01
To fill out home health and hospice forms, follow these steps:
02
Start by obtaining the necessary forms from your healthcare provider or from the home health and hospice agency.
03
Read the instructions carefully to understand the information required and the sections to be completed.
04
Begin by filling out personal details, such as your name, address, contact information, and date of birth.
05
Provide details about your medical history, including any pre-existing conditions, past treatments, and current medications.
06
Include information about your primary healthcare provider and any specialists you are seeing.
07
Specify the reason for seeking home health or hospice care and provide a brief description of your healthcare needs.
08
Fill out insurance and payment information, including Medicare or other insurance details.
09
If applicable, include information about your caregiver or the person responsible for your healthcare decisions.
10
Sign and date the form, ensuring you have provided all necessary information.
11
Review the completed form for accuracy and make any corrections if needed.
12
Submit the filled-out forms to your healthcare provider or directly to the home health and hospice agency.
13
Note: It is always recommended to consult with your healthcare provider or the agency for guidance and clarification during the form filling process.
Who needs home health and hospice?
01
Home health and hospice care is typically needed by individuals who:
02
- Have recently been discharged from the hospital and require ongoing medical supervision or assistance.
03
- Have a chronic illness or condition that requires regular monitoring and specialized care.
04
- Are unable to perform certain activities of daily living independently and need assistance with personal care, such as bathing, dressing, or medication management.
05
- Are terminally ill and require palliative care or end-of-life support.
06
- Have experienced a significant decline in physical or cognitive abilities and need help with mobility, safety, and overall well-being.
07
It is important to consult with healthcare professionals to determine if home health and hospice care is suitable for your specific needs.
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What is home health and hospice?
Home health and hospice care provide medical and supportive services to individuals in their homes who are ill or disabled.
Who is required to file home health and hospice?
Providers of home health and hospice services are required to file the necessary documentation.
How to fill out home health and hospice?
Home health and hospice forms should be filled out with accurate and complete information regarding the patient's condition and care plan.
What is the purpose of home health and hospice?
The purpose of home health and hospice is to provide quality medical care and support to individuals in need, while allowing them to remain in the comfort of their own homes.
What information must be reported on home health and hospice?
Information such as patient's medical history, current condition, treatment plan, and caregiver details must be reported on home health and hospice forms.
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