Skilled nursing, therapy services, social work, and home health. Aide care provided to your patients in the home. When appropriate, patients are connected with local community resources.

Twenty-four hour on-call service is provided by the home health agency, saving the physician many night calls. Emergency visits are done with a timely report made to the doctor of the patient's condition. It is satisfying to know that the patient is receiving frequent attention for an unstable condition when it would be very difficult to come to the office.

Skilled Nurse:
• Assess blood pressure pulse, and respirator status
• Assess nutrition, hydration, bowel and bladder function
• Assess and teach medication regime and response to medications
• Diabetic teaching, check glucose levels and administer insulin
• Dietary teaching
• Wound care - dressing changes
• Catheter care/changes urethral or suprapubic
• Colostomy / ileostomy care
• Bowel care - impaction removal
• Draw blood samples venous arterial
• IV therapy, continuous antibiotics/TPN internal feedings
• Chest percussions
• Pain and symptom management

Physical Therapist:
• Gait training
• Bed mobility transfers
• Strengthening and therapeutic exercises
• Assess home environment for possible need of DME

Speech Therapist:
• Language and communication retraining
• Dysphagia

Occupational Therapist:
• ADL retraining - dressing, eating, use of special equipment

Medical Social Worker:
• Social services
• Financial/emotional counseling
• Facilitate community resources

Home Health Aide:
• Bathing
• Dressing
• Oral and hair care
• Catheter care
• Ambulation assistance
• Turning and positioning
• Meal preparation
• Feeding
• Light housekeeping

Terminally Ill Services:
• interdisciplinary approach
• Physician consultation
• Skilled nursing
• Home health aides
• Social worker
• Family participation encouraged
• Pain management
• Emotional support for patient and family

Any patient who has difficulty leaving home without assistance and:
• Has a severe exacerbation of an illness.
• Has a diagnosis of a new illness.
• Was just placed on new medications.
• Has fluctuating blood pressure.
• Is an unstable diabetic.
• Has any condition that is not responding to treatment.
• Is a patient you suspect may not be taking medications or following a diet properly
• Is a patient and/or a family who is calling your office frequently with many concerns.
• Is a patient who has been discharged from the hospital or extended care facility with new instructions for care
• Is a patient who is coming home after fractured hips, THR, TKR, CVA. Even it he/she has been in a nursing home, Medicare will pay for a patient to readjust to the home setting and continue a therapy treatment plan alter returning home.
• Is a patient with wounds, decubiti, diabetes, or venous statis ulcers that are not healing or are frequently infected.
• Is a patient who needs periodic blood work - pro-times, FBS's.

Yes. You will be informed immediately of any significant changes in your patients condition.

Telephone calls are made to you for orders and instructions. Written letters of progress are sent to your office on a regular basis. Orders are renewed in writing every sixty days.

Orders are prepared by the agency, sent to you for your signature, and then submitted to Medicare or other insurance agencies for payment.

Medicare is the largest payer of home care services and can pay 100% if a patient is eligible. Medicaid also reimburses for home care.

Nearly all private insurance companies have some home care coverage. Patients may be billed by private companies for the difference between charges and the amount covered by the policy.

Rocky Mountain Home Care will assess any patient and research eligibility status. Just CALL our office:

Billings
(406) 652-8883
1-800-546-8915
Fax (406) 652-8879

Hospitalization is not necessary to qualify. A phone call from your office to the agency of your choice is all that is necessary. A new diagnosis or change in condition can qualify a patient for skilled care.

• The patient must he homebound. Medicare defines a homebound patient as one who requires considerable effort and assistance to leave home.
• Care must be medically reasonable, necessary arid ordered by an MD.
• The patient must require skilled care.
• Care must be intermittent.

Frequency of visits depends on the acuteness of the condition and the care needed. Under Medicare, visits can be made up to QID to provide IV antibiotics, BID for dressing changes, QD for insulin administration, 2-3 times a week to teach and assess, once a month for pro-time or catheter changes, or every sixty days for FBS.

Home health aide services are usually provided three times a week but can be more often in some cases. Medicare regulations allow an aide to visit daily, or as needed, according to the level of personal care required.

It is for many insurance companies. Medicare also as a provision for hospice. In addition to skilled nursing services, hospice provides volunteers, bereavement and pastoral care. Details can he provided by your home health agency.

Yes, if the services are ordered by a psychiatrist and provided by a nurse with a psychiatric background. Medication compliance, assessment for side effects, toxicity etc. are skilled services that qualify for reimbursement.

Rocky Mountain Home Care's referral staff will help your patient find an alternative type of care or assistance at no charge.