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Frequently Asked Questions
How Do I Get Home Care?
How Does A Person Qualify For Home Care?
What Does It Mean To Be Homebound?
What Rights Does a Home Care Patient Have?
How Can I Contact Alpha Omega Home Health?
What's The Difference Between Skilled Home Health Care and Private Duty Home Care? NEW!
How Do I Get Home Care?
Just CALL us! 1-866-976-8686. We take care of all the details – we get orders from the doctor, bill the insurance, everything!
Don’t worry if you are not sure if home care will help you. Call us, tell us your situation, and we will call your doctor if we think we can help you. If we can’t help you, we will do our best to help you find something that will help you!
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How Does A Person Qualify For Home Care?
Medicare
is the most common payment source for skilled home health services.
Several
other insurance companies use Medicare criteria to decide if someone
qualifies
for home health services. If
you have any doubts if you qualify – call us!
Medicare
has the following requirements for home health care:
- The Patient
must require the
skills of a Nurse, Physical Therapist or the
continuing care of
an Occupational
Therapist. Examples of this would be the need for exercises to restore
function
after a joint replacement surgery, to monitor recovery after a hospital
stay,
or how the Patient is responding to a new medication.
- The Patient must be ‘homebound’ (please see the question below for a further explanation).
- Services must be ordered by a Physician
- The services must be ‘reasonable and necessary’ for the Patient's condition
What Does It Mean To Be Homebound?
The
definition of ‘homebound’ has changed a LOT in recent years, mostly
because
Medicare realized how much money home health services saves them! While
they
require that it take a ‘considerable and taxing effort’ to leave home,
they
also state that it’s fine for ‘homebound’ people to go to get their hair
cut, attend church, and attend other important meetings.
Generally, they look for the following:
- The Patient must require the assistance of a person or device to leave the home, here are some examples (the people in all of these examples ARE homebound):
o The
Patient may have some steps to
their
home that they can’t manage
unless they hold
onto someone’s arm. They would then need the
assistance of ‘a person’ to leave
home.
o The Patient may need a walker or cane to walk safely. That would be the device they need to leave home. That would be the device they need to leave home.
o The
Patient may be blind or have some mental impairment so they can’t leave
home
alone. They would then need the assistance of ‘a person’ to leave home.
o The
Patient may need oxygen to leave home. That would be the device
they
need to leave home.
- -OR- leaving
home must make
their symptoms worse. For example, it may make their pain worse, their
heart
symptoms worse, or make them very short of breath. It may just make
them very
fatigued. These people are homebound.
- -OR-
it must be medically
“contraindicated” (a bad idea) to leave home. There are people who
cannot fight
off infections easily (if they are taking chemotherapy for cancer,
etc.), or
who have an open wound. These people are also homebound.
What Rights Does a Home Care Patient Have?
- Our patient
bill of rights is designed to recognize, protect,
and promote the rights or each patient to be treated with dignity and
respect.
Our Patient or their representative may exercise these rights.
- The services available through
Alpha Omega Home Health, LLC are
Skilled Nursing, Aide, Physical and Occupational Therapy, and Medical
Social
Work. All services are available directly, although some of our
Physical and
Occupational Therapists are contracted through private agencies.
- To have their property treated with
dignity
and respect.
- To be informed of any changes in
the billing
or payment information we have provided within 30 days from the date we
are
made aware of the change.
- The names and professional
qualifications of
the people who provide your care and the proposed frequency of
visits.
- The Agency’s policy on Advanced
Directives
- To voice grievances regarding
treatment or
care that is (or fails to be) furnished, or regarding the lack of
respect for
property by anyone who is furnishing services on behalf of Alpha Omega
Home
Health, LLC. You will not be subject to discrimination or reprisal for
doing
so. An investigation is made of all complaints, and we document the
existence
of and resolution of the complaint.
- To receive service without regard
to race,
creed, gender, age, handicap, sexual orientation, veteran status,
lifestyle,
marital status, weight or height.
- To receive service without regard to whether or not any advance directive has been executed.
- To make informed decisions about
care and
treatment plans and to receive information in a way that is
understandable to
you.
- To be notified in advance of care
to be furnished,
any changes in the care to be provided, treatment options, transfers,
and when
and why care will be discontinued;
- To receive and access services
consistently
and in a timely manner in accordance with Alpha Omega Home Health, LLC
policy;
- To receive education, instructions and requirements for continuing care when the services of the Agency are discontinued. To participate in the selection of options for alternative levels of care or referral to other organizations, as indicated by your need for continuing care;
- To have your clinical records and
health
information treated in a confidential manner.
- To be advised that Michigan,
Medicare and
Community Health Accreditation Program (CHAP) have toll-free Hotlines
for
questions or complaints about this organization or the implementation
of
Advance Directives:
- The CHAP Hotline number is 1-800-669-1656, it’s available 24 hours daily.
- The State of Michigan Complaint Hotline is 1-800-822-6006. The hotline is a 24-hour service with a person answering the phone from 8 a.m. to 5 p.m., and an answering machine after those hours.
- To receive disclosure information
regarding
any beneficial relationships the organization has that may result in
profit for
Alpha Omega Home Health, LLC.
- To
know that Alpha
Omega Home Health is owned by Joanne Sraj Sopko, RN.
- Patient's may request information regarding Alpha Omega Home Health’ liability insurance or with any comments, questions, complaints or compliments between the hours of 8 a.m. and 4 p.m.
What's The Difference Between Skilled Home Health Care and Private Duty Home Care?
Skilled home health care is generally for more acutely ill people, generally after discharge from the hospital or nursing home. The services are directed by the physician, nurse and any therapists involved (with the patient/family's input, of course!). Services are 'medically necessary' and usually paid for by health insurance.
Private duty home care is usually provided to patients whose conditions are more stable. Typically they need less skilled services, such as assistance with bathing, dressing, or a nurse to set up their pills for the week. Insurance companies consider such services 'custodial', so they are not medically necessary, and are paid for by the patient/family and some insurance policies purchased specifically for that purpose.
Contact Information -
We would LOVE to talk to you -
contact us whichever way is most convenient for you!
contact us whichever way is most convenient for you!
email address:
alphaomega@echoicemi.com
Office phone
Local: 989-856-8686
Toll
Free: 1-866-976-868
Office mailing address:
7039
Main Street, Suite B
P.O.
Box 2006
Caseville, MI 48725
Click on any of the links below to go to our other web pages:
| Home |
| Why
Should I Choose Alpha Omega? |
| Frequently
Asked Questions |
| What
Our Patients Say |
| Services
Provided |
| Service Area |
| Benefits of Home Care |
| About Us |
| Laughter Is The Best medicine |
| Employment |
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