Barriers: Back up Team & Cost Outs Planning for Success Barriers: Back up Team & Cost Outs

Timeliness, Accuracy, Cost Outs: PHC Policy is to turn around referrals in 1 hour! How can we get this done? Just say YES!! Know what you can and can’t take Be ready to Cost Out referrals Make sure Back Up team is in place Understand the difference between accepting and admitting Understand as much as you can about payer sources Know who your resources are if you need assistance(Medicaid questions, insurance problems, equipment holdups, etc)

Cost out Tool Open Discussion

Cost Out Rate Sheet Recover Care Pricing Alternating Pressure Low Air Loss Mattress- $10.50/day With Bolister Sides- add $1/day Bariatric Alternating Pressure Low Air Loss Mattress- $10.00/day With Bolister Sides- add $1/day Bariatric Bed Frame (750lb)- $25.00/day, (1000lb)- $35.00/day Bariatric Commode (700lb)- $3.00/day Bariatric Rolling Walker (700lb)- $1.00/day

Rates Continued Wheelchairs- 24in Wheelchair (450lbs)- $7.00/day 26in Wheelchair (700lb)- $9.00/day 28in Wheelchair (700lb)- $9.00/day 30in Wheelchair (700lb)- $9.00/day Bariatric Lift (600lb capacity) with scale- $13.50/day Bariatric Lift (1000 lb capacity) with scale- $26.25/day Bariatric Trapeze- $3.00/day CPM Machine- $24.95/day, with Shoulder Kit- $37.50/day Exsudex Negative Pressure Pump- $35.00/day Kit- $550.00/1 month supply KCI Wound Vac- $61.25/day

Rates - therapy Rehab Care Pricing *Please note- The prices below are per day, but you pay this daily rate for Therapy and NON-treatment days. These are our costs NOT private pay rates. RU Category- $110.06/day RV Category- $76.43/day RH Category- $49.68/day RM Category- $22.93/day RL Category- $6.88/day Non-Rehab Rug- $1.07/minute Medicaid Only Patients- $1.00/minute

Rates SMS BiPap Machine- $231.00/month BiPap ST- $393.75/month Compression- $42.00/month Concentrators- $39.90/month CPap- $84.00/month Oxygen- .40/pound Portable Stroller- $15.75/month Heater- $78.75/month 10L Oxygen Concentrator- $78.75/month Auto CPap- $157.50/month Trach- 1 time per month Consult- Double check with SMS on pricing for your building

Rates – Omni Care IV Hydration- $20.00/day TPN- Up to 1000ml (includes Detrose, A.A., Electrolytes, trace elements, and lipids)- $80.00/day From 1001ml to 2000ml(including the above)- $100.00/day Greater than 2001ml(including the above)- $110.00/day   IVs - 1st IV/day(including pump/CADD pump and supplies)- $17.00/day 2nd IV/day(including the same)- $20.00/day 3rd IV/day(including the same)- $25.00/day QID IV/day(including the same)- $30.00/day Continuous IV Pain Infusion- $35.00/day Does NOT include cost of medication

Rates - Misc Miscellaneous *We do not take Triligy AVap/BiPap! – Considered VENT Shaker Vest- $1500-5000/month PLUS suction machine and supplies Life Vest- $4000/month *Both Shaker Vest and Life Vest are not reimbursed in LTC. Part B will pay for these at home.

Final Thoughts: Keep it at your finger tips for quick reference Makes costing out easier If a supply is missing from this list, please let me know and I will get it for you

We are a 24/7 business and our referral sources expect that of us. Back Up Tool Why do we need it? We are a 24/7 business and our referral sources expect that of us. Why and How?

A Successful Back Up Team Provides coverage for your referrals and admissions 24/7 Maintains high quality and Consistent Customer Service Empowers employees Grows Census Improves relationships with referral sources Meets PHC policy requirements

Make it work for you Who is on it? Who should be on it? Is there enough depth to it? Train the Back Up team on their responsibilities. Utilize those on the Back Up team several times a year to make sure they are comfortable performing their responsibilities flawlessly when needed.

Admission Team Tool Time to designate the A- TEAM