Home Health

 

Nursing

When you are recovering from an illness or injury, skilled nursing services can help you get back to doing the things you love as quickly as your treatment allows. Our nurses evaluate your condition on each visit and work with your physician to develop goals and a treatment plan.

Our experienced nurses work to improve your quality of life and prevent unnecessary hospital visits on your road to recovery.  Our nurses provide:

  • Disease management
  • Cardiac care, including CHF management and education
  • Pulmonary care, including COPD management and education
  • Diabetes management and education
  • Medication management, teaching, and administration
  • Illness assessment and education
  • Post-surgical management
  • Bathing and personal care assistance
  • Assessments at each visit on your condition and risk for going to the hospital
  • Measure blood pressure, pulse, respirations, lung sounds, blood glucose or pulse oximetry, as ordered by your doctor
  • Wound care management
  • Pain management
  • Orthopedic rehabilitation
  • Fall prevention

Therapy

We provide rehabilitative solutions for short-term and long-term patients. Our caring and knowledgeable staff offers therapy and education. With any therapy, our goal is to provide the patient with the knowledge to regain independence and confidence . For questions regarding therapy, please call us at 1-866-330-0609.

Occupational Therapy

We provide occupational therapy treatment to develop, regain, or maintain activities of daily living and/or work skills for someone with a chronic condition, injury, physical, or mental disorder. Examples include eating, dressing, bathing, cooking, coping skills, and other activities of daily living.

Speech Therapy

Our therapists focus on reteaching the ability to understand words spoken to you and the ability to use words to express yourself following an illness or accident.

Physical Therapy

Following an illness, injury, or surgery, physical therapy is used to regain movement and function so that the patient can regain normal activity. Physical Therapy is intended to improve mobility and help the patient regain their strength.

Medical Social Worker

A medical social worker may be provided to a patient to offer support and resources needed to recover from illness or trauma. The social worker will help a patient with planning, both short term and long term for the illness and treatment.

Eligibility

Who is eligible for home health?

Most patients, including Medicare beneficiaries, are eligible for home health services when the patient is under the care of a physician who has certified that the patient is homebound and in need of one of the following services:

  • Intermittent skilled nursing care; and/or
  • Physical, Occupational, or Speech Therapy when:
    1. your condition is expected to improve in a reasonable and generally-predictable period of time;
    2. you need a skilled therapist to safely and effectively make a maintenance program for your condition; or
    3. you need a skilled therapist to safely and effectively do maintenance therapy for your condition.

When is a patient homebound?

A patient is homebound when the patient is generally confined to their home due to an illness or injury. Homebound patients may still leave their home, but leaving the home must require supportive devices, such as a wheelchair, or the assistance of another person. Homebound patients typically leave the home only for: (1) medical treatment; (2) adult day care; or (3) short infrequent absences, such as attending religious services. Patients who are covered by private insurance may not need to be homebound to receive home health services.

Who is not eligible for home health services?

  • Medicare Beneficiaries who are not homebound; and
  • Patients who need more than part-time or intermittent nursing care.

​You may qualify for home health if:

  • you have been recently diagnosed with an illness;
  • your doctor recently changed your medications;
  • your medical condition recently changed for the worse;
  • you need any type of therapy;
  • leaving home is difficult for you due to your illness;
  • you would rather receive medical care in your home;
  • you have been in the hospital recently; or
  • you fear falling in your home.

Payment

Who Pays for Home Health?

Medicare and Medicare Advantage

For Medicare beneficiaries, covered home health services are provided at no cost to the patient. For patients covered by Medicare Advantage plans or private insurance, covered home health services may be subject to co-pays.

Insurance

Each insurance company has specific guidelines outlining eligibility for home health services. Most commercial insurance companies cover home health services with little or no out-of-pocket expense for the patient. If you have questions about what home health services are covered by your insurance company, please give us a call at 1-866-330-0609.

Referral

If you are a physician or healthcare provider and would like to refer a patient to ProHealth for home health services, please fax referrals to us at (844) 358-0261 or email them to us at admissions@prohealthgroup.com. Once we have had a chance to review your referral, we will follow up with you within twenty four hours for any additional information we might need and to schedule the admission.

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