Home Health Blogger

Melissa Cott

Recent Posts

Cerebrovascular Accident (CVA) Home Health Care? Beware Outliers

Now that we will have a 30 day billing cycle under Medicare’s Patient Driven Groupings Model (PDGM), there’s no reason not to strive to achieve patient goals within this 30 day window.  Many of your patients, with manageable risk factors, should be able to achieve...

Posted by Melissa Cott on May 10, 2022

OASIS M1830 - Medicare Guidance for Assessing Bathing Ability

Medicare monitors seven (7) OASIS items for improvement between admission and discharge. M1830 Bathing is one of the 7 'process' outcomes tracked for improvement.

Posted by Melissa Cott on May 9, 2022

Pain Management: 2022 PDGM Utilization Recommendations

A home health pain management program can be executed by either nursing or therapy. Patients requiring pain management should use a combination of medical (chronic pain medications) and non-medical intervention such as guided imagery, distraction, relaxation - among others. ...

Posted by Melissa Cott on May 5, 2022

Prevent Malnutrition in Home Health Patients

From the Mayo Clinic: Older adults are at risk of inadequate nutrition - malnutrition - as a result of inappropriate dietary choices, low income, difficulty obtaining food, and various physical and mental health conditions. Additional causes of inadequate nutrition:

Posted by Melissa Cott on May 3, 2022

OASIS M2020 Oral Medications: Medicare Guidance

In-home medication management includes assessing the patient's ability to self-manage oral medications. Use Medicare's own guidance & strategies for completing OASIS (M2020) Management of Oral Medications: the patient's current ability to prepare and take all oral medications reliably...

Posted by Melissa Cott on May 3, 2022

OASIS M1860 Ambulation/Locomotion - Answer Indicated GG0170 Only

Just because the patient has a mobility deficit doesn’t mean s/he is a candidate for physical therapy. The patient’s status prior to this current episode is the primary driver that determines if physical therapy is needed or not. If the patient is not a candidate for therapy and will...

Posted by Melissa Cott on Apr 28, 2022

Diabetes & Foot Care: Do's & Don'ts

As part of your teaching plan for patients with diabetes, include the following points regarding foot care. As clinicians know, foot problems are common in people with diabetes. Teaching patients to manage serum glucose levels helps keep feet healthy and avoid diabetic neuropathy.

Posted by Melissa Cott on Apr 25, 2022

Infection Control Teaching for Home Health Patients

Given the current focus on COVID-19, other infectious processes commonly experienced by home health patients - pneumonia, UTI’s, hepatitis, and wound infections - still pose significant challenges to patients and home health clinicians.

Posted by Melissa Cott on Apr 19, 2022