Dietitians at Home prioritizes making the lives of Nurses, Case Managers, Social Workers, and Home Health Agencies easier by offering a number of resources, including:
As per Medicare requirements, all patients with diabetes must have an HbA1c on file.
"Beginning December 30, 2014, Palmetto GBA began a Local Coverage Determination (LCD) regarding home health plans of care for all patients with type II diabetes mellitus. This LCD, #L35413, is in effect for the states of Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee and Texas.
The new LCD is designed to ensure that “evidence-based medicine addressing the risks of acute and chronic complications of diabetes mellitus are integrated into the delivery of home health services of Medicare beneficiaries with type II diabetes mellitus”.
Because Medicare funded home health care must be “reasonable and necessary” in order to be covered, agencies are now charged with having documentation that shows evidence-based, patient-centered care, and proof of medical necessity. In order to ensure coverage, the patient record should show that the patient is either physically or mentally unable to self-inject insulin and there is no other person who is able and willing to inject the patient; the results of the most recent hemoglobin A1C (HbA1c); and documentation must be legible, relevant and sufficient to justify the services billed. This documentation must be available to the Medicare Administrative Contractor (MAC) upon request.
Additional Medicare guidance states that the goal of treatment for patients with type II diabetes is to prevent acute and chronic complications. Home health nursing is one of the many treatment options for reaching this goal. Treatment also includes modification of diet, exercise and medications. Initial intervention depends on the level of hyperglycemia and comorbidities.
Dietitians at Home helps home health agencies meet these requirement and others like it by providing results-based patient-focused preventative care.