Comprehensive Assessment, Reassessment, and the 62-Day Skilled Services Review
Sets the schedule, content, and responsibility for assessing and reassessing each patient: the nurse’s and each discipline’s evaluations, the review and evaluation of skilled services at least every 62 calendar days with a summary report to the physician, the federal comprehensive assessment and its updates if the Agency is Medicare-certified, the DC Medicaid 60-day plan reviews and annual evaluation of continued need, and the reassessments a change in condition requires.
About this policy
- Policy number
- DC-HH-ASM-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55
- Library
- Washington, DC home health · 58 policies
- Category
- Service delivery
- Sections
- 19
In short
- Every skilled service is reviewed at least every 62 calendar days, and a summary report goes to the physician.
- If we are Medicare-certified, the comprehensive assessment is done within 5 calendar days of the start of care and updated in the last 5 days of every 60 days.
- After a hospital stay of 24 hours or more, the patient is reassessed within 48 hours of coming home (Medicare-certified).
- Report any change in a patient’s condition to the nurse the same day, and at once in an emergency.
- DC Medicaid personal care: the nurse reviews the plan at least every 60 days and evaluates continued need every 12 months.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22-B DCMR §3916.1; 42 CFR §484.55)
- 5. Assessment and Review Schedule
- 6. Content of the Comprehensive Assessment
- 7. Who Completes Each Assessment
- 8. The 62-Day Review of Skilled Services
- 9. Reassessment After a Change in Condition
- 10. Reporting Findings
- 11. Tracking Due Dates
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me this patient’s assessments since admission. When was the last review of skilled services, and when was the summary report sent to the physician?
- If you are Medicare-certified: when was the comprehensive assessment completed? Was it within 5 calendar days of the start of care?
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