Coordination would involve a senior needing an MD order for a service (long term care insurance) or a piece of adaptive equipment. You discover the elder's listed primary provider is a (PA) Physician's Assistant who has not seen the elder in over 8 months . The PA is actually on maternity leave with this request for an MD order. The elder has seen two different MD's in the last 6 months, one visit resulted in a physical therapy evaluation and a walker with outpatient sessions.
Each clinic MD has a different nurse (the contact person) and the clinic has an internal policy that encourages the nurse to instruct the elder to come in for another clinic visit to receive the MD order.
Were the (PA) physicians assistant available their signature on the order could work if:
- the PA is State certified
- the PA has their own (NPI) National Provider Identification
- the PA is in compliance with section 1861 (aa) of the social security act
Some payers will require the medical doctor to sign off for a face to face visit conducted by a physicians assistant, a nurse practitioner, or a clinical nurse specialist. The medical doctor will have a documentation requirement which can be reimbursed using the G billing code (G0454).
Having the paperwork prepared for submission to the clinic for a signature can go from a seeming next step or task to a tracking process. Having the paper work suitable to communicate the elders need is important with the often tight scheduling for clinic visits. The elder has a short time frame to discuss their evidence for the equipment or service to meet the pressing need.
Securing an order for equipment or service has been described as sticky, busy work, stuck, time consuming, seemingly simple, full of starts and stops, just clerical, a lot of waiting, but in the end it is called coordination.
Wisconsin's Basin is a biopsychosocial approach to an advanced care planning and consultation service for seniors discharging from a hospital or nursing home. Basin is a consultation service billed at 39.00 per hour.
Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin
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Home Care Path www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service. Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility. Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour. Simply call 608-432-4286 to schedule an interview. We can be there when you are working. We accept long term care insurance. Services can be tax deductible. Help with resources and the transition from private payment to public funded programming. Valuing home and human life
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