You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Using the Nursing Process to Accurately Plan the Medicare 60-Day Episode of Care: You Really Do Know How to Do This!

Hollers, Kay RN, MPH, FHHC, CHCE

Home Healthcare Nurse:
Article: CE

The reimbursement and clinical changes resulting from Medicare PPS can seem daunting to a home care clinician. However, as this article explains, using their knowledge of the nursing process, clinicians can effectively manage the 60-day episode of care from a positive clinical and financial viewpoint.

PPS shifts home health reimbursement by paying the agency to deliver a 60-day episode of care. While there is no requirement that the agency keep the client on service for the entire 60-day period, there is clearly an implicit responsibility and financial accountability for meeting all the patient’s home care needs that arise during the entire 60-day episode.

Author Information

Kay Hollers, RN, MPH, FHHC, CHCE, is President of Health Care Executive Resources, Austin, TX.

Address for correspondence: c/o Health Care Executive Resources, P.O. Box 200729, Austin, TX 78703 (

The author of this article has no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.

© 2004 Lippincott Williams & Wilkins, Inc.