SN Comprehensive Start of Care Resumption of Care 2025

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The Start of Care (SOC) comprehensive assessment is the required in-person clinical assessment of the patients physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver that will be addressed by the home health agencys services.
Start of Care (SOC): This information is collected at Start of Care. Resumption of Care (ROC): This information is collected at Resumption of Care when a patient has been transferred to another provider and then returned.
Note: A ROC (Resumption of Care) will generate a POC only when it is completed in the last five days of an episode as it takes the place of the Recertification. Otherwise, an entirely new POC is not created, as only new orders are needed when a patient is resumed.
ing to the comprehensive assessment regulation, when both disciplines are ordered at SOC, the RN would perform the SOC comprehensive assessment. Either discipline may perform subsequent assessments.
(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status.
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You must conduct a comprehensive assessment including OASIS data items at start of care, at resumption of care following an inpatient facility stay of 24 hours or longer, every 60 days, when there has been a major change in the patients health status, and at discharge.
Evaluate claims on financial and clinical basis Most home health workers have heard the definitions of Medicares significant change in condition (SCIC). Simply stated, it is any unexpected improvement or decline in the patients condition, or a change in the treatment plan.

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