Referring a Patient
Home Health Referals
Referrals are processed through our Intake department 7 days a week from 10:00 AM to 5:00 PM,
excluding holidays.
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Phone referrals: (818) 616-1111 - FAX number: (818) 616-1110
Mailing Address: 7065 Hayvenhurst Ave., Ste 9, Lake Balboa, CA 91406
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Please include the following necessary information when making a referral to expedite patient admission:
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Complete patient identification for registration, confirmed address and phone numbers, birth date, gender, emergency contact name and phone numbers, and language spoken.
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Primary insurance coverage, ID number, policy, group, and authorization contact numbers (or copy of insurance card)
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Reason for home care, requested start of care date, diagnosis, allergies, pertinent medical history, current hospital and facility admission and discharge dates.
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Attending Physician following the patient for Home Health (usually PCP), office contact, address, 24 hour contact phone and fax numbers and referring physician information, if not following for home care.
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Physician Orders for disciplines requested and treatment orders
Please Note
Starting January 1, 2011, a physician certifying a Medicare patient for home health services must document that he or she met face-to-face with the patient, either up to 90 days before the start of care
or up to 30 days after.
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CMS requires the physician to list the primary diagnosis for home health care (i.e., why the patient requires nursing/therapy services in his or her home) and sign the home health face-to-face encounter (HHF2F) document, attesting that such a visit took place.
If you have further questions regarding how to make a referral, please contact the agency at (818) 616-1111, Monday through Friday, from 9:00 AM to 5:00 PM.
