Visits prior to admission

Path: Patient>General>Admissions & Status>Encounter Information

If you enter a visit for a patient prior to admission, and then change the admit date to be that of the visit date, the visit will still appear as a preadmission visit on the Productivity report until you run either Recalculate Service Amounts or Recalculate Staff Service. When you enter a service, its amounts are calculated based on the rate effective at the moment the service is entered.

To ensure that the service picks up the correct rates when the service type changes (based on an admit date change, for example) and that the correct amounts are reflected on the Productivity report, you must run either Recalculate Service Amounts or Recalculate Staff Service to refresh patient status after changing the admit date (or termination date). Both of these functions now refresh the patient status as well as service amounts.

When you change the date on an existing admission line to a later one, Netsmart Homecare checks to see if there are billable verified services prior to the new admission date.

• If so, the application displays the following warning message: "There are verified billable visits in the period the patient is inactive. The system will not allow you to save current admission until you review and change the services to non-billable or delete them."
• The same message appears when you change the active admission line to a prospective admission or when you delete an admission line.

Following this message is a list of the services in question. You must manually change or delete the services as appropriate before you can complete the admission.

When you edit a prior admission, the application performs the following checks to prevent illogical status changes and overlapping admission periods:

• Discharge dates from prior admissions are not equal to or greater than admission dates for subsequent admissions.
• Patient status on previous admissions cannot be changed to the death status.
• Patient status on previous admission cannot be changed to the non-death status without first deleting current admission.
• Patient status records cannot be added or deleted on prior admission records.