I have just come up against something I haven't had to address before. We have several long-term catheter patients that come from a local Urology practice. Those providers are now refusing to sign the 485s on their patients if there are any non-urology related interventions. For example, if there are interventions for monitoring their diabetic status, or pain control, or for complications of CHF, etc., if their patients have these co-morbidities, they don't want that included on the 485 and they want those sent to the PCP.
I tried to explain that we are required to include patient specific interventions and goals in the POC, but they say, "that should all be separate from catheter care" and want us to separate those non-catheter interventions out and send a separate order to the PCP.
Has anyone experienced this, and if so, how have you handled it?
Thank you.
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J Scott Lambert MPT, JD
Director
Washington Regional Home Health
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