Home Health Initial Assessment/Telehealth

$18.30

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.

Description

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.

Download a sample today!

You may purchase the digital version of this form through our parent company, Briggs Healthcare. All digital forms are licensed, sold and billed directly through Briggs.

Specifications:

Size:  8 1/2″ x 11″

Print:  2-sides different, black ink

Punching:  5-holes top and side

Packaging:  100 per pad