Physicians Choice Health Services

The agency failed to provide a Notice of Medicare Non-Coverage (NOMNC) written notice at least 2 days in advance of terminating on-going care in 3 (Patient Records #12, #13 & #14) of 3 discharged patient records reviewed in which the patients were discharged from agency services with goals met.

The agency failed to individualize the POC to include all required elements in 5 (#2, #5, #8, #9 and #10) of 10 active clinical records reviewed, where the patient had a diagnosis of Heart Failure, the agency failed to include appropriate interventions to assess for fluid retention with abnormal…

The agency failed to ensure that each of the tasks listed at 484.80(b)(3) were evaluated by observation of the home health aides' (hha) performance of the tasks with a patient.

The agency failed to provide an accurate Notice of Medicare Non-Coverage (NOMNC) written notice in advance of terminating on-going care in 6 (Patient Record 1,2,3,4,5 and 6) of 6 records reviewed in which the patient was discharged from agency services.

The agency failed to maintain accurate and inclusive patient records for 1 (Patient Record 1) of 1 patient records reviewed with wound care ordered by the physician.