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Home Health Initial Assessment/Telehealth

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$110.00
SKU: 3434E
$110.00

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Medicare has temporarily expanded its coverage of telehealth services by waiving 42 CFR § 484.55(a), allowing home health agencies to perform the initial assessment remotely. Briggs Home Health Initial Assessment/Telehealth enables clinicians to remotely document the beneficiary’s eligibility for home health services. 

The initial assessment must still be provided within 48 hours of the patient’s referral or return home from an inpatient facility or on the physician-ordered SOC date. Briggs Home Health Initial Assessment/Telehealth supports regulatory compliance allowing patients to be cared for in the best environment for them while supporting infection control

Information collected includes: 

         Home bound status

         Primary diagnosis

         Skilled and immediate need for care

        Date scheduled for the start of care comprehensive assessment

         Date the initial assessment was provided

         The type of device used to complete the assessment

If the beneficiary meets eligibility, then this document can be used to supplement the Face to Face Encounter note, provided by the physician. For that purpose a place is provided for the physician/NPP to sign acknowledging the information collected and agreeing to adding this form to the medical record. 

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*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.   To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.

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