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Melissa Cott

Recent Posts

3 Steps to Effective Home Health QAPI

CHAP, JCAHO, ACHC & Medicare require that “The group of professional personnel meets frequently to advise the agency on professional issues, to participate in the evaluation of the agency’s quality assurance program...”

Your Agency's Incident Reporting System is the foundation for...

Posted by Melissa Cott on Apr 10, 2023

OASIS E Section N: Medications Will Require Additional Documentation

OASIS E, to be released in January 2023, requires

  1. patient teaching on high-risk medications and
  2. documentation of THE REASON for the high-risk medication

You will want to make sure your field staff are able to identify the generic and trade names of high risk...

Posted by Melissa Cott on Jun 9, 2022

OASIS M1870: 3 Strategies to Assist with Feeding & Eating

Preparing and serving food for optimum nutritional intake

  1. Serve 5-6 small meals rather than three large meals.
  2. Chop or cut the food into bite-size pieces.
  3. Serve the most nutritious foods first.
  4. Allow the patient enough time to chew and swallow each bite.
  5. If necessary for swallowing...

Posted by Melissa Cott on May 31, 2022

Best Practices for Completing M1400 OASIS Dyspnea

Include the following best practice (Medicare) guidelines for completing OASIS M1400 Shortness of Breath:

(M1400) When is the patient dyspneic or noticeably Short of Breath?

Identifies the level of exertion/activity that results in a patient’s dyspnea or shortness of breath.

Posted by Melissa Cott on May 26, 2022

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

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

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

CDC Coding Guidelines for COVID-19

Use the following CDC Guidelines for assigning ICD-10 to patients with confirmed or suspected COVID-19:

Posted by Melissa Cott on Apr 11, 2022