This letter serves as a written notice of Loving Hearts Home Healthcare Inc. appeal to the overpayment amount of $5,034.90, which was identified in the overpayment notification letter. Specifically, those claims billed for Marjorie Savage that have been labeled with a discrepancy code 911. The notification letter provided the following explanation for the discrepancy code, which resulted in an overpayment: • Documentation in the employee personal file indicated that the provider failed to obtain criminal record clearance for the employee in accordance with the Code of Virginia 32.1-162.9:1. 12VAC30-120-930, 12VAC30-120-950 AND 12VAC30-120-960 state, “Providers are responsible for complying with §32.1-162.9:1 of the Code of Virginia regarding …show more content…
made every reasonable attempt to receive the criminal background checks in a timely manner. Loving Hearts Home Healthcare Inc. remained in constant and consistent contact with the Virginia State Police Staff, checking and maintaining the status of the criminal records. Loving Hearts Home Healthcare Inc. consistently received responses of “severe backlog” from the Virginia State Police. While making every reasonable attempt to receive the criminal records in a timely manner; Loving Hearts Home Healthcare Inc. cannot control how quickly the Virginia State Police conducts background checks, nor should the agency be held liable for the backlog that the Virginia State Police had at the time. Further, Loving Hearts Home Healthcare Inc. acted within its maximum capacity and abilities to maintain the criminal backgrounds checks by making every reasonable attempt to stay in constant communication with the Virginia State Police in an effort to be in compliance with §32.1-162.9:1 of the Code of Virginia and requirements of the Department of Medical Services. The record of communication with the Virginia State Police was included in the initial agency response and has been included in this Appeal for your
SC received a telephone call on 10/16/2015 stared 9:34 and end at 9:41 am from Tricia Crooks at Liberty Resources Home Choices (LRHC) Community Outreach and Enrollment Leader. Stating that she spoke Pa and he wants to resume his service order with LRHC for PAS service. SC informed SC that this information will first need to verify with Pa. SC expressed concerns about LRHC being able to fulfill service since they had the case unstaffed for over two weeks (09/25/15-10/15/2015). Tricia apologized on behalf of LRHC, and stated that they have someone assigned and is ready to go all is needed is the resumed service order ASAP. SC again explained to Tricia that Pa has to confirm this besides Pa was very adamant about switching provider because the
This officer has had contact via face to face and phone with the mother, Ms. Evelyn Edwards. Discussions have taken place with her regarding Marquel’s Comprehensive Re-Entry Case Plan. She has participated in a video conference with Marquel since his commitment. She is aware of his placement in the Virginia Beach CPP Program. She has not visited him at the facility, but she has had contact with him via phone. She is currently unemployed. Upon Marquel’s release from DJJ, the anticipated parole plan (CRCP) will be for him to return to her home with intensive supportive services via 294 funding. Additionally, in the event this placement is no longer available, an alternative placement will be sought via 294 funding for a group home placement or
D-This writer met with the patient as he was placed on HOLD to address the status of the IOP. The patient provided this writer a paper that was provided to him with listing of IOP for him to explore. The paper shows scribbles of the patient taking down notes about his attempts of who he called. The patient reports Connecticut Addiction Recovery will call him back within 24-48 hours. The patient was able to schedule an appointment with New Direction for May 20th at 7pm; patient spoke with Dan. This writer commends the patient for all of his efforts; however, the patient needs to schedule something earlier than May 20th. This writer asked the patient about ICRC-Coventry House. According to the patient, he called the contact number and showed proof. The patient reports that ICRC gave him two different number and told him to do a walk-in at 8:30am. This writer shared with the patient about a recent conversation this writer had with ICRC. This writer told the patient
On this date worker made an unannounced visit to the residence of Mr. Lawson Lovett, for the purpose of linking Mr. Bobby Lovett with VA nursing home application and information. When worker arrived, Mr. Bobby Lovett was cutting grass. Before worker could exit vehicle Mr. Bobby Lovett came to worker's car. Worker exited the vehicle and explained the reason for her visit. When worker gave Mr. Bobby Lovett the nursing home application he gave it back to worker and asked worker if she could help him fill out application because he did not have much education. Worker explained to Mr. Bobby Lovett she would assist with the application. However, he would need to gather documentation and sign application for Mr. Lawson Lovett since he was POA. Mr. Lovett gave worker his number and told her to call, they would set up a time to fill out
Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health
On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.
Pannell stated that the Newport News Behavioral Health representative Lori Clements is from Tennessee and isn’t aware of what a backup summary or progress report looks like which are items they discuss. Mrs. Pannell stated that Ms. Clements felt Danville-Pittsylvania Community Services should be speaking with her and not the facility. Also, Mrs. Pannell advised the invoices specifically state they are mailed from the facility and Danville-Pittsylvania Community Services respond’s to the facility. Ms. Linder read a statement prepared by Ms. Clements regarding the two outstanding invoices and assuring to stay in compliance with the guidelines. Ms. Linder presented the outstanding invoices and emails from The Wendell Scott Foundation. It was stated by Ms. Linder that CPMT policy states “If payment is not received within 45 days from the invoice date, the Core Agency (case manager) and CSA Office must be notified in writing, within 60 days of the invoice date (Section 5: D-CPMT Agreement for Services). Any invoices or reports for services older than 60 days will not be approved for payment” and according to emails it was received within 63 days. Mr. Moody stated policy must be adhered and the invoice was late thus shouldn’t be paid which Ms. Irby agreed
After promising to provide me with documents confirming Petitioner's allegations, Mr. Sundstrom did provide me with the promised documents. As a result, I called Mr. Sundstrom the following morning. After asking about the promised documents, Mr. Sundstrom responded, "Chermette can access the records. I said, "Chermette does not work in the department that handles mental hygiene applications. More importantly, unauthorized access represents a HIPPA violation. I plan to file a complaint with the DC Office of Disciplinary Counsel, unauthorized access would taint the documents." Realizing Mr. Sundstrom did not offer to provide me the documents, I said, " I will stop by your office and pick up the documents." Contrary to what Mr. Sundstrom said many times the prior day, "Well, I do not have any documents. I only have a cover sheet with
SSA received a phone call from Verna Goecke-PRPV inquiring if the Bond family was aware of Katlyn’s discharge from the facility. She stated that she had not heard from Mr. Bond regarding the discharge notice and according to Katlyn she had not discussed the discharge arrangements with her parents. SSA shared that two messages had been left on Karen Kohn’s cell phone. We discussed that in the event the family did not arrive to the meeting location this morning, PRPV was willing to transport Katlyn to the family home. Verna asked SSA to email the family’s home address in the even they needed to transport Katlyn to the home.
BH is a 62-year old African American Male who presents to Daybreak Clinic on September 2, 2015 for his routine follow-up exam for his hypertension, gout, and chronic back pain. His labs were collected Monday, August 31 and will be reviewed today. He reports that he has been out of his medications for a week due to needing a refill. He has a refill available that he reports he was unaware of. This will be his last visit to Daybreak due to his Social Security and Disability approvals. In addition to his medical needs today, he is requesting a letter of competency in order to be able to personally receive his Social Security check.
This memo is a request to have Kellie Shelton, Adult Protective Community Worker II with the Bureau of DSDS-HCS Region 3, placed on Conditional Employment. I am requesting Conditional Employment for Kellie Shelton as she has not met the objectives set forth in the work plan that began on May 16, 2016.
The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.
In 2013, Dorota Slawa Mankowska et al, worked on real study for a home care company that present the care for the at patients in their homes by staff members. They developed the mathematical model that aim to optimizing economical service cost and take care about individual qualifications of the staff, time preferences of patients, number of the staff required to this patient and certain time of patient’s drugs. This model has been able to achieve low average waiting times for patients, low traveling cost for caregivers, a fair distribution of inevitable tardiness, and service hundred patients in acceptable runtime.
To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.
During the last 20 years I have worked as a Support carer with home-care agency, care and residential homes providing care for the elderly and people with disabilities including Parkinson and dementia, brain juries as well as dealing with palliative care, peg feed, tracheostomy, Micky –button. I have experiencing with