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  3. Home Health Certification and Plan of Care

    www.cdc.gov/wtc/pdfs/policies/CMS-485-P.pdf

    Department of Health and Human Services Form Approved Centers for Medicare & Medicaid Services OMB No. 0938-0357 HOME HEALTH CERTIFICATION AND PLAN OF CARE 1. Patient’s HI Claim No. 2. Start Of Care Date 3. Certification Period

  4. Home Health 485 Plan of Care - Peter B. Sims

    www.peterbsims.com/wp-content/uploads/2016/03/...

    Sample 485. Department of Health and Human Services Health Care Financina Administration HOME HEALTH CARE CERTIFICATION AND PLAN OF CARE Form Approved OMB No. 0938-0357 5. Provider No. 147569 1. Patient HI Claim No. 321283278B 2.

  5. The Home Health Care Certification and Plan of Care, or Form CMS-485, is a document used by the Home Health Care Agency (HHA) and it serves as a plan of care and certification in the event that a patient’s physician oversees to provide patient care.

  6. Home Health Certification and Plan of Care

    medicaid.mmis.arkansas.gov/.../Forms/CMS-485.doc

    Form CMS-485 (C-3) (12-14) (Formerly HCFA-485) (Print Aligned) Privacy Act Statement. Sections 1812, 1814, 1815, 1816, 1861 and 1862 of the Social Security Act authorize collection of this information. The primary use of this information is to process and pay Medicare benefits to or on behalf of eligible individuals.

  7. 485/POC INSTRUCTIONS - Home Care Provider

    homecareforyou.com/exam/palmwyse/tools/485...

    485/POC INSTRUCTIONS 485/POC is the plan of care or service plan for the patient. Whoever does the SOC(Start of Care) for the patient completes the initial 485 filling in each of the following: 1. Diagnosis 2. Meds 3. Visit Frequency Orders (VFO)= this is the schedule of visits 4.

  8. 485 HOME HEALTH CERTIFICATION AND PLAN OF TREATMENT. The 485 Form is used by Home Health Care Agencies to serve as a plan of care and certification or recertification in cases were the physician assumes oversight of patient care. The completed form provides all the information required to deliver relevant treatment and medical care to the patient. This form is provided in Word format.

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