Increased Behavior Alternatives Support Services

What this costs you

If a doctor certifies the patient is homebound and needs skilled nursing or therapy, Medicare pays this agency directly and the patient pays nothing for the covered visits. Equipment is billed separately at 20% of the Medicare-approved amount. Home health does not pay for round-the-clock care, meals, or help with bathing and dressing on its own, those are the costs families are most often surprised by.

• Patient experience

  26.25 / 30

  What patients said about the agency afterwards, in the CMS-run HHCAHPS survey, the only federal home health measure that comes from patients rather than from the agency.

  • 88% of patients would definitely recommend it (national median 80%)

• Staying home

  16.25 / 25

  Whether patients stayed living in the community afterwards, and how often they went back to hospital for something home health should have caught.

  • No discharge-to-community rate published, scored just under the national average rather than guessed at
  • No preventable-readmission rate published, scored just under the national average rather than guessed at

• Recovery at home

  13 / 20

  How much of the expected improvement in dressing, bathing and moving around patients actually reached by the time care ended, risk-adjusted by CMS for how they arrived.

  • No discharge function score published, scored just under the national average rather than guessed at

• Care transitions

  9.75 / 15

  Whether the patient and their next doctor were handed an accurate, current medicine list when home health ended, the handover where things get missed.

  • No care-transition measures published, scored just under the national average rather than guessed at

• Starting on time

  2.5 / 10

  How often care actually began within the window the doctor ordered, or within two days of leaving hospital.

  • 45% of patients had care started on time (national median 97.8%)

Did it work?

Home health is judged on whether the patient stayed home, stayed out of hospital and got more capable. These are this agency's numbers against the national median.

From the HHCAHPS survey, which CMS sends to the agency's own patients after care. These are not online reviews and the agency cannot select who is asked. Percentages are the share who gave the best possible answer. 13% of those asked replied.

Services offered

• ✓ Skilled nursing care
• ✓ Physical therapy
• ✓ Occupational therapy
• ✓ Speech pathology
• ✓ Home health aide
• ✓ Medical social services

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Questions families ask about Increased Behavior Alternatives Support Services

Does Medicare pay for Increased Behavior Alternatives Support Services?

Yes, if a doctor certifies the patient is homebound and needs intermittent skilled nursing or therapy. Medicare then pays Increased Behavior Alternatives Support Services directly for covered home health visits and the patient pays nothing for them. Durable medical equipment is billed separately at 20% of the approved amount. Home health does not cover round-the-clock care, meals, or help with bathing and dressing on its own.

What do patients say about Increased Behavior Alternatives Support Services?

In the CMS-run HHCAHPS survey, results were published and 88% of patients said they would definitely recommend it, from 8 completed surveys. The survey is sent by CMS, not by the agency, and the agency cannot choose who is asked.

How is Increased Behavior Alternatives Support Services graded?

ElderGrade grades it C, average, scoring 68 out of 100 on the federal home health record: what patients themselves reported, whether they went on living in the community and stayed out of hospital, how much function they regained, whether the handover to their next doctor was done, and whether care started on time. We take no payment from agencies.

What services does Increased Behavior Alternatives Support Services provide?

CMS records this agency as offering skilled nursing care, physical therapy, occupational therapy, speech pathology, home health aide and medical social services. Which of them you actually receive depends on what the doctor writes into the plan of care.