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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
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Hospice is for the dying. The person or family want to let nature take its course. So certain meds are stopped and anything that would prolong life. Since Hospice provides an aide, that is not needed by HH. Woundcare is done to help elevate any pain or discomfort. PT is really not needed but maybe used if joints are seizing up and causing pain.
Where I live Home Health and Hospice are the same agency. Medicare pays for both HH and Hospice so the criteria is set by Medicare for what they will pay for. Private insurances differ but they too establish what they will cover and not cover.
Hi Charlotte I think your question is one of those where the answer might be….it just depends.
My DH Aunt was on home health for many years under the homebound provision of original Medicare. When she reached a certain stage in her dementia and loss of ADLs, she transferred to their hospice group. Not much changed except now she receives more services and supplies and a daily CNA assistance with bathing instead of twice a week. She still gets wound care when she needs it-from her hospice nurse. Was not taken off any of her meds and in fact, hospice now covers all meds that relate to the reason she is on hospice (dementia). She still pays for her BP meds, thyroid tablet etc through her drug insurance plan but Medicare hospice pays for the other drugs. In aunts case, there are HH nurses who are separate from hospice nurses so they are in two separate groups. This may be the way aunt’s particular company runs their business but my impression is that it’s a requirement of Medicare as they compensate the company differently for hospice care than they do HH care. I see this on the explanation of benefits I receive quarterly for aunts care. If you go on the Medicare.gov website you can search for hospice providers for your area. Then also search for HH. You will see the ones who offer both HH and hospice. Not all of them do. On this forum you will find responders from a variety of states and countries. We have had similar yet different experiences. You will need to speak with a specific provider in your area to see what their policies are. One of the confusing things for me was to realize that while Medicare may provide for multiple services for HH and/or hospice, not all providers actually offer all of the services medicare says they will cover. My hospice provides aunt with daily baths. Not all hospice in my area offers that. Another hospice might offer music therapy. Aunts does not. While the companies are primarily operating on government funds, they are private and can run the business as they see fit so long as they are in compliance. If you as a HH RN are being asked to provide wound care to a hospice patient, yet you aren’t an “official” hospice RN, your company may be looking at you as a shared resource? With aunt’s particular HH/Hospice company, the CNAs work for both groups but not the RNs/LVNs. I don’t know if that is the case just with my aunt’s company or if that is a Medicare requirement. Aunt has a physical therapist that is compensated by the hospice company. Many will tell you that isn’t provided by hospice. I was able to negotiate that for aunt because I knew the therapist and he knew the owner and they agreed to provide it. Medicare covers it but only through a lump sum daily payment that the provider gets to decide how to spend. Another thing to keep in mind besides geographic area and the companies policies is to also realize that rules change from year to year and what might have been acceptable practice for Medicare awhile back may no longer be the case. Someone wrote in recently looking for a hospice. When I googled their area, there was only one. I suspect in remote areas the rules may be quiet different from where there are multiple choices of providers. Health care is scarce in some areas.
I hope I didn’t entirely miss the point of your question. Welcome to the forum.
Hi Charlott, I am guessing the PT in your subject line means Patient, not Physical Therapy. In this forum, when someone uses PT, they usually mean the latter.
You asked a good question. I'm interested to know tthe answers too.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Where I live Home Health and Hospice are the same agency. Medicare pays for both HH and Hospice so the criteria is set by Medicare for what they will pay for. Private insurances differ but they too establish what they will cover and not cover.
I think your question is one of those where the answer might be….it just depends.
My DH Aunt was on home health for many years under the homebound provision of original Medicare. When she reached a certain stage in her dementia and loss of ADLs, she transferred to their hospice group. Not much changed except now she receives more services and supplies and a daily CNA assistance with bathing instead of twice a week. She still gets wound care when she needs it-from her hospice nurse. Was not taken off any of her meds and in fact, hospice now covers all meds that relate to the reason she is on hospice (dementia). She still pays for her BP meds, thyroid tablet etc through her drug insurance plan but Medicare hospice pays for the other drugs.
In aunts case, there are HH nurses who are separate from hospice nurses so they are in two separate groups. This may be the way aunt’s particular company runs their business but my impression is that it’s a requirement of Medicare as they compensate the company differently for hospice care than they do HH care. I see this on the explanation of benefits I receive quarterly for aunts care.
If you go on the Medicare.gov website you can search for hospice providers for your area. Then also search for HH. You will see the ones who offer both HH and hospice. Not all of them do. On this forum you will find responders from a variety of states and countries. We have had similar yet different experiences. You will need to speak with a specific provider in your area to see what their policies are.
One of the confusing things for me was to realize that while Medicare may provide for multiple services for HH and/or hospice, not all providers actually offer all of the services medicare says they will cover. My hospice provides aunt with daily baths. Not all hospice in my area offers that. Another hospice might offer music therapy. Aunts does not. While the companies are primarily operating on government funds, they are private and can run the business as they see fit so long as they are in compliance.
If you as a HH RN are being asked to provide wound care to a hospice patient, yet you aren’t an “official” hospice RN, your company may be looking at you as a shared resource? With aunt’s particular HH/Hospice company, the CNAs work for both groups but not the RNs/LVNs. I don’t know if that is the case just with my aunt’s company or if that is a Medicare requirement. Aunt has a physical therapist that is compensated by the hospice company. Many will tell you that isn’t provided by hospice. I was able to negotiate that for aunt because I knew the therapist and he knew the owner and they agreed to provide it. Medicare covers it but only through a lump sum daily payment that the provider gets to decide how to spend.
Another thing to keep in mind besides geographic area and the companies policies is to also realize that rules change from year to year and what might have been acceptable practice for Medicare awhile back may no longer be the case.
Someone wrote in recently looking for a hospice. When I googled their area, there was only one. I suspect in remote areas the rules may be quiet different from where there are multiple choices of providers. Health care is scarce in some areas.
I hope I didn’t entirely miss the point of your question. Welcome to the forum.
You asked a good question. I'm interested to know tthe answers too.