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. 1991 Fall;13(1):83-91.

Concordance between planned and approved visits during initial home care

L G Branch  1 , H B Goldberg, V A Cheh
Affiliations

Concordance between planned and approved visits during initial home care

L G Branch et al. Health Care Financ Rev. 1991 Fall.

Abstract

Based on little prior information and a brief interview, the Medicare home health agency intake case manager must estimate the types and amounts of services a new client will require during the first 60 days of home care. We systematically examined the concordance between types and amounts of planned services with those actually approved and reimbursed during the first 60 days of care for a sample of 2,431 clients during 1986. Overall, the mean number of planned visits during the first 60 days was 24.76, and the mean number of approved visits was 15.95. Approved visits as a percent of planned visits averaged 64.4.

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References

    1. Branch LG. Home care is the answer: what is the question? Home Health Care Services Quarterly. 1985;6(1):3–11. - PubMed
    1. Branch LG, Wetle TT, Scherr PA, et al. A prospective study of incident comprehensive medical home care use among the elderly. American Journal of Public Health. 1988 Mar.78(3):255–259. - PMC - PubMed
    1. Branch LG, Goldberg HB, Cheh VA, Williams JL. Health Care Financing Review. Office of Research and Demonstrations, Health Care Financing Administration; Medicare home health: A description of total episodes of care. To be published. - PMC - PubMed
    1. Kane RA, Kane RL. Long-Term Care: Principles, Programs and Policies. New York: Springer Publishing Co.; 1987.
    1. U.S. General Accounting Office. Medicare: Assuring the Quality of Home Health Services. Washington, D.C.: Oct. 1989. Report to the U.S. Senate. Pub. No. GAO/HRD-90-7.

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