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Remittance slip example for Supervision

hello everyone welcome welcome welcome to my  channel my name is coach Michelle and I'm coming   to you from the ATL today's video is on tips on  how to pay your registered nurse for supervisory   visits so come on in this is going to be sweet and  to the point so the first thing is well actually   welcome welcome welcome to the new people one  more time hashtag new hashtag new hashtag new okay   so the video is about tips so tip number  one identify if you are required to provide   supervisory visits do you need a registered  nurse to provide um those supervisory visits to   go out to your clients and make sure everything is  going on um the way it should be ing to the   service plan you know the care is being rendered  appropriately and then you want to decide okay I   already know I need a registered nurse then you  want to decide how much am I going to go to my   registered nurse so you need to do some market  research so make sure that you're offering a   competitive rate to your registered nurse right so  you're going to find out yes I need a nurse second   thing is how often do I need those supervisory  visits done third thing market research how am   I going to pay her and how much am I going to  pay her him or her right so you want to check   check with other agencies do some research check  with payscale.com look on indeed.com now that's a   good place look on indeed.com and see what other  people other agencies providers are paying their   um registered nurse for supervisory business  supervisory visitors different than comprehensive   head to toe assessments just so you know  we paid more for comprehensive assessments   than supervisory business supervisory business  real quick in and out five questions or more   or something similar to that we did five questions  so um you just want to make sure that the services   providing services are being provided ing  to the service plan um the family is happy with   the caregiver they do they have any questions  concerns have there been any hospitalization   are there any new medications so you just want  to do that supervisory visit to make sure that   you are providing the appropriate level of care  and that the consumer is happy right and then   um you want to decide if you're going to pay PRN  as needed right so I need you to come and do these   things on these days I need you to manage you  know this client supervisor visits every so often   with that being said um you know I'm here in  um Atlanta Georgia so if you are a private home   care provider in Atlanta or surrounding area  or really the state of Georgia right not just   Atlanta come on now Michelle if you are in the  state of Georgia and you have your permit as a   private home care provider then that means you  have up to three services you can offer under   that license if you're doing companion services  that means your supervisory visits are due every   122 Days by a registered nurse if you're doing um  Personal Care helping them with their ADLs then   that means your supervisory visit is due every  92 days if you're doing skill nursing providing   skilled nursing Services then your supervisory  visits by your registered nurse they're done   every 62 days now for those of you that are  Medicaid providers in Georgia that's not the   same so ing to medic decade I'm not going to  get into details but you have to make sure you're   following the guidelines for Medicaid waiver  programs because it's based on the number of   units in the type of care so totally different  okay this is specifically talking about private   home care provider permit agency when I just gave  those examples so I want to be very clear so if   you are not in the state of Georgia that doesn't  apply to you you would have to check your rules   and regulations your policies to First verify if a  supervisory visit is required if it is who can do   the supervisory visits and then go ing and  find out if there's a time frame or anything like   that so it's very important to know your rules and  regulations so you are working with an Excellence   at all times you once you identify you know  your raid yes I need to have a registered nurse   um how am I going to pay you know is this person  going to be an employee is this person going to be   an independent contractor make sure they fill out  the appropriate paperwork and then are you paying   paying them by the hour you're a registered nurse  or are you paying per visit we pay per visit and   um and we paid a fair rate per visit so  if a registered nurse hourly rate was x   amount of dollars we paid x amount of dollars plus  because this is the nurse going out specifically   um to provide that service then they're going  to document it write it up and whatever you   know else that may be required in your specific  State I just thought about something let me go   back for a moment since I mentioned the state of  Georgia if you are in the state of Georgia DCH   the Department of Community Health they do allow  a licensed practical nurse and LPN to conduct a   supervisory visit however it must be signed off  by a registered nurse so I wanted to point that   out there to you guys so you do have that option  in Georgia I personally have never ran across a   registered nurse that would sign off off on LP  and LPN work in this specific Home Care industry   but I just want to make sure you guys had that  information just in case you may be in a position   and have a an LPN and then of course you know um  based on my experience LPNs are paid less so that   may be something you want to do however you got  to make sure you have a registered nurse unless   you are a registered nurse right and that's that  and that may be possible because 90 I think like   93 of my clients are registered nurses then maybe  five percent are nurse practitioners and then the   other percentage are aspiring entrepreneurs  that can be in health care um I.T all across   the board so if you are a registered nurse and  you want to hire an LPN to go out in the state   of Georgia you're fine if you're not in Georgia  definitely check again and I'm gonna say this over   and over and I say it in many videos make sure  you are adhering to the rules and regulations   for your state so you are safe and compliant at  all times so if you do a flat rate which is what   we did then you can really control your payroll  when it comes to your registered nurses because   you know okay she went to Miss Jones he went to  Miss Betty she went to Tamika and he went over   to you know Miss Samantha so you know is one two  three four visits times x amount of dollars so you   can really control it now if you go hourly which  I don't recommend but you got to do what's best   for your business if you go hourly that one flat  rate say a hundred dollars a hundred and twenty   five dollars that you have allotted that nurse can  go out there and say you're paying the nurse 85 I   don't know how much guys in your state say you're  paying the nurse 85 an hour that nurse can be   there one hour two hours three hours next year you  know you're almost paying 300 for a supervisory   visit that usually based on my experience take  about 20 minutes because in the state of Georgia   we have approximately five questions that we ask  and those questions usually go by really quick   um because if there was something serious going  on we would know before the supervisory visit   if there was a hospitalization if there was  a fall if there was a change in medication   so really it's just there to supervise oh  side note let me tell you this come here   come here we actually had our registered  nurses kill two birds with one stone what   does that mean coach Michelle meaning when they  went out to do the supervisory visit we also had   them do our caregiver evaluation meaning  they observed the caregiver doing a task   um I know that's a good tip right there put  hashtag good tip coach hashtag good tip in   the comments because that's a good one that's  a way to save you money that's a way to make   sure you're compliant and have your caregiver  evaluations and observations done so go on the   thank you coach for that one now that one  I gotta Pat myself on the back for yeah so it's so simple recap find out if you are  required to do um supervisory visits find   out who needs to do them as far as what  talent what credential individual you need   to do them how often do you need to do them  how are you going to pay the individual to   um conduct those supervisory visits are you  what form are you using to document does your   state require a specific form what questions  are you asking and Baby there you go is is it   a contractor you're hiring a contractor as an  employee so my job is done I'ma drop the mic   right now my job is done so if you found value  in this video comment below definitely like   subscribe subscribe to the channel guys subscribe  subscribe subscribe and if you have not purchased   your ticket for the 2023 Home Care empowerment  conference what are you waiting for we sell   out every year what are you waiting for so get  your ticket go to myhomecarecoach.com go to the   menu click on events and get your ticket and for  those of you that are married have a significant   other boyfriend girlfriend bring them on the  conference bring them on the conference come on   come on so again that's myhomecarecoach.com  take care God bless I appreciate each and   every one of you and I will see you on the next  video this is number 104. take care God bless