AMB REF to VNS
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**Note: this workflow will only work for patients with Anthem Medicare, Healthfirst Medicaid, Healthfirst Medicare, or Medicare fee-for-service. For other plans:
- Providers: 1. Complete Progress Note and be sure to describe the need for VNS 2. Complete the Face-to-Face Encounter letter in the 'Communications' tab in EPIC 3. Utilize .IMAVNSAPPLY to message the IMA forms pool - AA: 1. E-Fax ArchCare at Home 914-941-2690 the Face-to Face Encounter letter in the 'Communications' tab as well as the Face sheet with pts demographics and insurance.
For patients that are HOMEBOUND: i.e. a normal inability to leave home, and leaving home requires a considerable and taxing effort. Includes: using assistive devices (cane/wheelchair/walker/crutches), needing special transportation, needing the help of another person to leave their home, leaving home exacerbates symptoms, cognitive or psych impairments).
Skilled Nursing at home (will send an RN to the pts house for many reasons, including medication mgt (includes medication adherence/medication pouring/assessing compliance), diabetes/cardiac/asthma mgt, gait assessment, BP mgt)
Rehabilitation Services — Physical, Occupational and Speech Therapy
Home Hospice
TEMPORARY Home Health Aide Care
Strong Foundations Falls Prevention
Wound, catheter, ostomy care