What if you give a patient/family a home health advanced beneficiary notice (HHABN) and they do not want to discontinue the services. What is the agency’s responsibility?
CMS has provided guidance regarding advanced beneficiary notice at http://www.cms.hhs.gov/center/hha.asp. The agency should remember that the client has the right to appeal the termination of services decision. If the client chooses to appeal, the agency should continue to provide services until the Quality Improvement Organization (QIO) has completed its review. The client must be informed by the agency what the cost of services will be if the appeal is denied and the agency’s decision is upheld. The QIO for Texas is the Texas Medical Foundation (TMF) Health Quality Institute. There is a formal process that the client must follow in order to appeal the agency’s decision to terminate services.
Related Questions
- What if you give a patient/family a home health advanced beneficiary notice (HHABN) and they do not want to discontinue the services. What is the agency’s responsibility?
- Does an agency have to give a home health advance beneficiary notice (HHABN) every certification period when the frequency is decreased?
- How can I determine if a patient has had Home Health services or if he/she is still under the Home Health Agency?
