Many of your patient's would prefer to get their healthcare at home, if possible. With home health coverage under Medicare, Medicaid and many private insurance plans, you can make the determination if your patients are qualified.
Follow the guidelines below to help you determine whether you have patients who may be eligible to receive home health care.
Qualifying Conditions of Medicare
The following are the main conditions patients must meet in order to qualify for the Medicare home health care benefit.
Refer a patient to home health or hospice seamlessly.
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Assess Your Patient's Needs
If one or more of the following questions applies to a patient in your care, he or she may benefit from home health care.
- Been diagnosed with heart failure, diabetes, COPD, chronic kidney disease, stroke, Alzheimer's/dementia, joint replacement or amputation?
- Within the last three months experienced serious illness, surgery, falls/dizziness/loss of balance, confusion or disorientation, hospitalization or visits to the emergency department?
- Been prescribed Coumadin/Warfarin, insulin, IV medication, dialysis or oxygen?
- Had difficulty or need significant help in keeping track of which medications to take, taken the wrong medication or taken the wrong dosage of medication?
- Had difficulty getting out of bed, bathing, getting dressed, preparing food or using the restroom?
- Needed multiple office visits to a physician to deal with symptoms of their condition?
- Had to make a visit to you or another physician due to side effects from medication?
Download our full guide on Medicare home health eligibility to help your patients assess their needs.
