Enzo Academy
Home Health
For nurses and therapists moving into home health: what it is, what a day looks like, and how to start.
Home health is skilled nursing and therapy given in the patient's home, in visits. This chapter covers what it is, who qualifies, and what changes for a clinician who moves into it.
A home health day is a list of visits you drive to. This chapter covers who sets the visits, what you do at each one, what the note has to show, and what happens between them.
Federal rules let a new graduate work in home health. States and employers may ask for more. This chapter covers the rules, the training an agency owes you, and what good orientation programs look like.
Medicare pays the agency, and the agency decides how to pay you. This chapter covers the four common pay setups, how a points system works, what federal wage data shows, and the questions to settle before you take the job.
Medicare covers home health for a patient who is homebound, needs skilled care and has seen a practitioner face to face. You do not certify any of that, but your notes are part of the proof. This chapter walks through each test.
Before a patient reaches your schedule, a referral has been accepted, an order confirmed, the insurance checked and a visit assigned. This chapter covers who does each of those jobs and who to call for what.
The start of care visit usually opens a new home health case. It comes with a 48-hour deadline and a notice of rights the patient signs, and it begins a full assessment that includes a review of every medication the patient takes.
OASIS is the federal data set built into every home health assessment. This chapter covers the version in force, who may complete it, the deadline at each time point, the rules for answering, and what the answers are used for.
The plan of care is the signed document every home health visit has to follow. This chapter covers the sixteen things it must contain, who signs it, how orders are written and changed, and what the patient gets in writing.
Home health is certified 60 days at a time and paid 30 days at a time. This chapter covers the choice at day 60, the recertification window, what a discharge requires, and how the payment works.
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