FAQ’s

Home health care is ordered by a Physician to provide both preventive and post-hospital care for patients who require a skilled medical need.

 What is Home Health Care?

Home Health Care is skilled nursing care and certain other health care services that you get in your home for the treatment of an illness or injury. This page explains Medicare’s basic home health benefit and gives you information about where to get more information and help.

 Who is Eligible for Home Health Care?

All Medicare beneficiaries can receive home health care benefits.

 How Can I Get Care at Home?

To get Medicare home health care:
1. Your doctor must decide that you need medical care in your home, and make a plan for your care at home; and
2. You must need at least one of the following: intermittent (and not full time) Skilled Nursing care, or Physical, Occupational and Speech Language Pathology Services; and
3. You must be home bound. This means that you are normally unable to leave home. Being home bound means that leaving home is a major effort. When you leave home, it must be infrequent, for a short time, or to get medical care; and
4. The Home Health Agency caring for you must be approved by the Medicare program.

You must meet all four of these conditions for Medicare to cover Home Health Care.

 What is the time period for Home Health Services?

It depends upon the condition of the patient. Physician authorizations for home health care services are necessary every 60 days.

 How do I order Home Health Services?

Call Pinnacle Home Health Agency LLC 925-954-6178 and consult our Intake.

 Does my patient need to be hospitalized to qualify for home health services?

No. Home health care may be utilized as preventive medicine to enhance overall patient care. Our goal is to reduce acute care hospitalization.

 Does my patient need to be home bound?

Yes. If your patient is home bound by use of a wheelchair, walker or otherwise dependent upon another person, the patient qualifies for home health services. A patient may be able to leave the home for physician appointments and light shopping.

 Does Medicare pay for home health services?

Yes. Medicare covers 100% with no co-payments.

 Does private health insurance pay for home health services?

Yes, depending on the plan coverage.

 How do I secure more information for Home Health Services?

Call Pinnacle Home Health Agency LLC 925-954-6178 and a representative will discuss with you the patient’s case and how Pinnacle Home Health Agency LLC can come up with an individualized Plan of Care for the patient.

 What primary services or diagnoses are most commonly covered by home health care?
  • Skilled Nursing
    • Wound/Ulcer Care
    • IV-antibiotic Treatment
    • Pain ManagementPain Management
    • Enteral Education
    • Medication Management
    • Diabetic Education
    • Depression
    • Pneumonia
    • Frequent Falls
    • Constipation/Impaction Treatment
    • Dietary Teaching (CHF, Hyper-Cholesterol, Anemia, Diverticulitis)
    • Re-hydration Treatment (Cancer Patients)
    • Catheter Management
  • Physical and/or Occupational Therapy
    • Home Health Safety Evaluation
    • Arthritis/Osteoarthritis
    • General Debility/Muscle Weakness
    • Abnormality of Gait/Gait Debility
    • Congestive Heart Failure
    • Pneumonia
    • Education on the use of Durable Medical Equipment (DME)
  • Speech Therapy
    • Speech
    • Swallowing
    • Voice Disorders Following various Physical, Mental and Neurologic Affectations
  • Medical Social Worker
    • Consult with patients and their families
    • Coordinating community resources
    • Coordinates financial assistance
    • Family counseling
  • Dietician/Nutritionist
    • Nutritional needs assessment following illnesses
    • Short and Long Term Setting
    • Implementation of Plan of Care
    • Education of Patients on Nutritional Values