The authors address several issues in the dilemma of providing skilled home health services to the chronically ill pulmonary patient. The restrictions of current reimburse ment plus the fear of future methods make the professional a patient advocate who needs to be creative in establishing care plans and assertive in negotiating reimbursement with the insurance carriers. The authors provide excellent suggestions in several areas, such as care plan development and establishing appropriate visiting patterns. Two case studies are given to demonstrate effective case management.
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References
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Hoyer RG: Prospective payment system. Part II. Hospitals' experience with prospective payment system. Washington, DC: National Association for Home Care Report #311, May 5,1989.
