Live-in Visits

An Authorization must be setup for service provided in a Live-In Visit. Complete the following steps to create or edit an Authorization.

1. Go to Patient > Patient Search and select the applicable Patient.

2. Select Authorizations/Orders from the left navigation panel.

3. Click the Edit link or click the Add button to create a new one.

4. In the Patient Authorization window, complete the required fields. Ensure to enter a Service Code that is set up for Live-In Visit. Select Daily for the Period and set each day the Patient receives service to 24.

   

5. Click Save.

An Authorization can be created specifically for the Non-Billable Service Code, as follows:

1. Go to Patient > Patient Search and select the applicable Patient.

2. Select Authorizations/Orders from the left navigation panel.

3. Either click the Edit link to update an existing Authorization or click the Add button to create a new one.

4. The Authorization window opens. Complete/Update required fields. Select Non-Billable from the Service Code field. Click Save.

   

5. The Post-Shift now displays in green in the Patient’s Calendar as an authorized visit.

   

The Pre-Shift and Post-Shift functions allows one to make schedule changes by inserting partial shifts before or after a Live-in visit. These shifts are typically scheduled when a Caregiver must arrive and relieve the previous Caregiver before the normal transition time, or when a Caregiver must stay later than the original transition time if their replacement cannot arrive on time.

Complete the following to enter a Pre-Shift or Post-Shift.

1. Go to Patient > Patient Search and select the applicable Patient.

2. Select Calendar from the left navigation panel. Select the applicable visit.

3. Select the Visit Info tab. Click the Add Pre-Shift or Add Post-Shift button, accordingly.

   

4. In this example, the Add Post Shift function is selected. In the Create Post Shift window, enter the Schedule Time, Service Code, Caregiver Code, and a Pay Code. The Primary bill to field defaults to the Contract set for the original visit. Select a non-billable Service Code for the Pre or Post-Shift; because Live-in visits are billed at a flat rate (not on an hourly basis).

   Click Save to continue.

   

5. On the Calendar page, the added Post-Shift appears in Pink. Note that the Schedule Time for the previous Live-in visit has been adjusted in accordance with the Schedule Time of the Post-Shift.

   

6. Correct the Post-Shift to pass Prebilling and Billing Review exception pages. Go to Admin > Reference Table Management and select the non-billable Service Code.

7. On the Contract Service Code page, select the Bypass Prebilling Validations and Bypass Billing Review Validations checkboxes.

   Click Save.

   Visits scheduled with the Non-Billable Service Code bypass all validations on the Prebilling and Billing Review exception pages.

   

8. The Post-Shift now displays in white in the Patient’s Calendar and may be included in an invoice.

   

Complete the following steps to schedule Live-in Visits.

1. Go to Patient > Patient Search and select the applicable Patient.

2. Select Calendar from the left navigation panel.

3. Select a date and add a New non-skilled visit. Complete all required fields. Ensure to select the correct Service Code. For Live-in Visits, ensure to schedule the hours from 0800-0800 to indicate a 24-hour shift. Click Save.

4. Live-in Visits are confirmed with a single Clock IN and Clock OUT if they are not scheduled back-to-back with another Live-in visit.

   

5. If scheduled back-to-back, the process is as follows:

   This automated process only works if the Caregiver Clocks OUT within 30 minutes of the scheduled end time, or by 0830.

   1. The Caregiver Clocks IN at 0800 for the first visit.

   2. The Caregiver Clocks OUT at 0800 the following day and enters Duties.

   3. The system automatically Clocks IN the Caregiver for the next visit at 0800 if they are scheduled to work it.

   4. The Caregiver need only Clock OUT and enter Duties for each subsequent visit. The system automatically clocks them IN once the Clock OUT EVV is received.