Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Home Health, Home Infusion, Hospice)
Rules and Regulations
(continued)
11-16
The provider shall be required to have policies and procedures
which identify:
1. a competent and comprehensive assessment of client healthrelated
needs;
2. that the home health services provided are appropriate to a
client’s identified needs;
3. that an approved plan of care is accurately implemented
through service delivery; and
4. that the client care and treatment, including progress reports
from all disciplines, is correctly documented in an acceptable
clinical record format in a timely manner.
There shall be a written policy explaining procedures for obtaining
referrals from primary care physician’s original signed physician
plan of treatment and subsequent renewals of plan of treatment
consistent with provider’s applicable licensure/certification
requirements.
Demonstration of Internal Continuity of Care/Case
Management shall include the following:
1. The provider shall have policies and procedures to assure the
coordination, integration and continuity of client’s care.
2. There is a written policy statement ensuring the coordination of
all client services delivered by the provider, according to the
plan of care.
3. There is evidence of the provider’s ongoing compliance with
policies and procedures regarding service coordination,
according to the plan of care.
4. The discharge planning process and transfer policies are the
same as those under external continuity of Care/Case
Management.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (07/12/12)