5 things to check for on your SOC calendars for a complete POC. See the attached document for the picture that cooresponds to each number listed below.
Please make sure the admitting RN’s all have this info.
Make sure that within 5 days of the end of the episode, you have an RN02H on your calendar that replaces your regular SN11H visit. This is your recert visit. It’s best to put it on the calendar now so you don’t get to the last part of the episode and scramble to get this changed/done. RN02H can only be done by an RN (no LVN/LPN’s).
If you have an aide that is seeing your patient, you need to have a supervisory visit with that aide every other week. The easiest way to do this is to schedule RN10’s out for those visits. RN10’s can only be done by an RN (no LVN/LPN’s).
It’s best to put a couple SN-PRNH visits on the calendar, because in Hospice, you are sometimes out at the patients’ home more than the frequency stated in the POC. It’s up to your agency how many SN-PRNH’s you will schedule. It should be appropriate to the patients' needs and should be unique to each patient...just know that these PRN visits allow some flexibility in the calendar/scheduling and will be able to be moved outside the medicare week if needed. More PRN's can be ordered at a later date, but if you are regularly using PRN's, you should increase your overall nursing visit frequency and not just continue to order more PRN visits.
Some agencies will schedule their Chaplain and Social Worker visits from the intake screens. Others choose to have the RN put those on the calendar while they are doing the Admission Visit. This is your choice…but please be consistent. Your Chaplain and Social Worker must see that patient to assist within that 1st five days on your services.
Make sure you are scheduling out all months in the episode. A hospice patient has a 60 or 90 day episode…make sure all those days have a frequency built out before saving your visit back to the office.