Home Health & Hospice Week

Industry Note:

Make Sure Teaching For Dementia Patients Includes This Documentation

Tip: Training caregivers counts toward this skilled need, new MAC article says.

Worried about receiving denials when teaching dementia patients with behavioral disturbances? Check out a new coverage article from HHH Medicare Administrative Contractor NHIC for tips on what your MAC will be looking for.

"Teaching and training activities ... in the case of the beneficiary population with dementia and behavioral disturbances, could be part of a unique beneficiary-centered care plan directed at teaching the family or caregiver how to manage the behavioral disturbances," NHIC explains.

But for teaching to be covered, clinicians should document the answers to a list of questions about the disturbance, ranging from "What is the frequency of the behavior" to "Are there other possible explanations for the behavior," NHIC instructs.

Remember: "In the home health setting, skilled education services are no longer needed if it becomes apparent, after a reasonable period of time, that the patient, family, or caregiver could not or would not be trained," the MAC tells providers.

The article, which includes example scenarios with interventions, is at www.cms.gov/medicare-coverage-database/details/article-details.aspx?rticleId=51856&ver=2&name=&ContrId=206&ContrVer=1.

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