3a MG Physician House Call System and Home Health Care werefounded in 2005 by Dr.Niriksha Chandrani and Dr.Papanna Ravichandra. Two experienced Physicians shared a vision of creating a compassionate care service that would treat people with respect, dignity, and first-rate care.
Since its inception, 3a Medical Group Physician House Call System Home Health Care has grown a staff of over twenty nurses and health providers. Our caregivers are experienced, well-educated, and committed to ensuring a high quality of life for all of our cherished clients. All of our staff must pass a rigorous background check before joining the 3a MG Home Health Care team.
Mary has been a Registered Nurse for nearly ten years. A graduate of New York University with a Bachelors of Science in Nursing, Mary exhibits a true commitment to caring for others. Mary began specializing in home health care in 1999 and has been very passionate about providing excellent care ever since. "I love being able to care for pe
Mary has been a Registered Nurse for nearly ten years. A graduate of New York University with a Bachelors of Science in Nursing, Mary exhibits a true commitment to caring for others. Mary began specializing in home health care in 1999 and has been very passionate about providing excellent care ever since. "I love being able to care for people outside of the confines of a hospital. I love helping people in their home environment. I believe it supports vitality and allows our patients to live with dignity and comfort."
Mary is a proud member of the Western Region of the New York Nurses Association, is certified by the New York Nursing Board, and has received honors for her work with rehabilitating seniors with orthopedic conditions.
Mary enjoys scuba diving in her spare time. She is a National Scuba Association certified diver.
Andre Jones has been studying pain and mobility in relation to aging for morethan ten years. Andre earned a Master's degree in physiology from New York State University in 1999. He then graduated from the New York Institute of Nursing in 2002.
From 2002 to 2005, Andre served as a consultant and staff rehabilitation specialist for the New Y
Andre Jones has been studying pain and mobility in relation to aging for morethan ten years. Andre earned a Master's degree in physiology from New York State University in 1999. He then graduated from the New York Institute of Nursing in 2002.
From 2002 to 2005, Andre served as a consultant and staff rehabilitation specialist for the New York City Senior Care Center. He founded 3a MGHome Health Care with Mary Watson in 2005 because he saw a need to provide effective health care, with dignity and compassion, to people living outside of institutionalized care. Andre is passionate about helping others.
Andre is a proud member of the New York State Nursing Association, is certified by the New York Nursing Board, and has authored over 50 papers on compassionate medicine. In his spare time, Andre enjoys cooking, hiking, and spending time with his children, Mandy and Robert.
Medicaid
Older American's Act (OAA)
Veterans Administration (VA)
Social Services Block Grant Programs
Community Organizations
Commercial Health Insurance Companies
Medigap Insurance
Long-Term Care Insurance
Managed Care Organizations
CHAMPUS
Home care services can be paid for directly by the patient and his/her family members, or through a variety of public and private sources. Hospice care is generally provided, regardless of the patient's and/or family's ability to pay. Public third-party payors include Medicare, Medicaid, the Older Americans Act, the Veterans Administration, and Social Services block grant programs. Some community organizations, such as local chapters of the American Cancer Society, the Alzheimer's Association, and the National Easter Seal Society, also provide funding to help pay for home care services. Private third-party payors include commercial health insurance companies, managed care organizations, and CHAMPUS.
Home care services that fail to meet the criteria of third-party payors must be paid for "out of pocket" by the patient or other party. The patient and home care provider negotiate the fees.
Most Americans older than 65 are eligible for the federal Medicare program. If an individual is homebound, under a physician's care, and requires medically necessary skilled nursing or therapy services, he/she may be eligible for services provided by a Medicare-certified home health agency. Depending on the patient's condition, Medicare may pay for intermittent skilled nursing; physical, occupational, and speech therapies; medical social work; HCA services; and medical equipment and supplies. The referring physician must authorize and periodically review the patient's plan of care. With the exception of hospice care, the services the patient receives must be intermittent or part-time and provided through a Medicare-certified home health agency for reimbursement. Hospice services are available to individuals who are terminally ill and have a life expectancy of six or fewer months. There is no requirement for the patient to be homebound or in need of skilled nursing care. A physician's certification is required to qualify an individual for the Medicare Hospice Benefit. The physician must also re-certify the individual at the beginning of each six-month benefit period. In turn, the patient is required to sign a statement indicating that he/she understands the nature of the illness and of hospice care. By signing this statement, the patient surrenders his/her rights to other Medicare benefits related to terminal illness.
Medicaid is a joint federal-state medical assistance program for low-income individuals. Each state has its own set of eligibility requirements. However, states are mandated only to provide home health services to individuals who receive federally-assisted income maintenance payments, such as Social Security income, Aid to Families with Dependent Children (AFDC), and individuals who are "categorically needy", such as certain aged, blind, and/or disabled individuals who have incomes that are too high to qualify for mandatory coverage, but below federal poverty levels. Individuals younger than 21, who meet income and resources requirements for AFDC, yet who otherwise are ineligible for AFDC, also qualify as categorically needy. Under federal Medicaid rules, coverage of home health services must include part-time nursing, HCA services, and medical supplies and equipment. At the option of the state, Medicaid may also cover audiology, physical, occupational, and speech therapies, and medical social services. Hospice is a Medicaid-covered benefit in 38 states. The Medicaid hospice benefit covers the same range of services that Medicare does.
Veterans who are at least 50% disabled due to a military service-related condition are eligible for home health care provided by the Veterans Administration (VA). A physician must authorize these services, which must be delivered through the VA's network of hospital-based home care units. The VA does not cover non-medical services provided by HCAs.
Some community organizations, along with state and local governments, provide funds for home health and supportive care. Depending on an individual's eligibility and financial circumstances, these organizations may pay for all, or a portion of, the needed services. Hospital discharge planners, social workers, local offices on aging, and the United Way are excellent sources for information about community resources.
Commercial health insurance policies typically cover some home care services for acute needs, but benefits for long-term services vary from plan to plan. Commercial insurers generally pay for skilled professional home care services with a cost-sharing provision. Such policies occasionally cover personal care services. Most commercial and private insurance plans will cover comprehensive hospice services, including nursing, social work, therapies, personal care, medications, and medical supplies and equipment. Cost-sharingvaries with individual policiesbut often is not required.
Individuals sometimes find it necessary to purchase Medigap insurance or long-term care insurance policies for additional home coverage. Such insurance is designed to bridge some of the gaps in Medicare coverage. Some Medigap policies offer at-home recovery benefits,which pay for some personal care services when the policy holder's physician must order this personal care, in conjunction with skilled services. Home care coverage in Medigap policies is not designed to cover extended long term care. This type of coverage is most helpful to individuals recovering from acute illness, injuries, or surgery.
"Home care" is a simple phrase that encompasses a wide range of health and social services. These services are delivered at home to recovering, disabled, chronically or terminally ill persons in need of medical, nursing, social, or therapeutic treatment and/or assistance with the essential activities of daily living.
Generally, home care is appropriate whenever a person prefers to stay at home but who needs ongoing care that cannot be easily or effectively provided solely by family and friends. More and more older people, electing to live independent, non-institutionalized lives, are receiving home care services as their physical capabilities diminish. Younger adults who are disabled, or recuperating from an acute illness, are choosing home care whenever possible. Chronically ill infants and children are receiving sophisticated medical treatment in their loving and secure home environments. Adults and children who are diagnosed with terminal illness are, likewise, being cared for at home, receiving compassion,and maintaining dignity at the end of life. As hospital stays decrease, increasing numbers of patients need highly skilled services when they return home. Other patients are able to stay at home to begin with, receiving safe and effective care.
Home care services are generally available 24 hours a day, seven days a week. Depending on the individual patient's needs, these services may be provided by an individual or a team of specialistson a part-time, intermittent, hourly, or shift basis. Following are descriptions of the various types of home care providers.
The term "home health agency" often indicates that a home care provider is Medicare-certified. A Medicare-certified agency has met federal minimum requirements for patient care and management and, therefore, can provide Medicare and Medicaid home health services. Individuals requiring skilled home care services usually receive their care from home health agencies. Due to regulatory requirements, services provided by these agencies are highly supervised and controlled. Some agencies deliver a variety of home care services through physicians, nurses, therapists, social workers, homemakers and HCAs, durable medical equipment and supply dealers, and volunteers. Other home health agencies limit their services to nursing and one or two other specialties. For cases in which an individual requires care from more than one specialist, home health agencies coordinate a caregiving team to administer comprehensive, efficient services. Personnel is assigned according to the needs of each patient. Home health agencies recruit and supervise their personnel. As a result, they assume liability for all care.
Registered Nurses (RNs) and Licensed Practical Nurses (LVNs) provide skilled services that cannot be performed safely and effectively by non-professional personnel. Some of these services include injections and intravenous therapy, wound care, education on disease treatment and prevention, and patient assessments. RNs may also provide case management services. RNs have received two or more years of specialized education and are licensed to practice by the state. LNs have at leastone year of specialized training and are licensed to work under the supervision of Registered Nurses. The intricacies of a patient's medical condition and required course of treatment determine whether care should be provided by an RN or can be provided by an LVN.
Physical Therapists (PTs) work to restore the mobility and strength of patients who are limited or disabled by physical injuries through the use of exercise, massage, and other methods. Using specialized equipment, PTs often alleviate pain and restore injured muscles. They also teach patients and caregivers special techniques for walking and transfer.
Social Workers provide counseling and evaluate the social and emotional factors affecting ill and disabled individuals. They also help patients and their family members identify available community resources. Social workers often serve as case managers when patients' conditions are so complex that professionals need to assess medical and supportive needs and to coordinate a variety of services.
Speech/Language Pathologists work to develop and restore the speech of individuals with communication disorders. Usually, such disorders are the result of traumas, such as surgery or stroke. Speech therapists also help retrain patients in breathing, swallowing, and muscle contro
Occupational Therapists (OTs) help individuals who have physical, developmental, social, or emotional problems that prevent them from performing the general Activities of Daily Living (ADLs). OTs,instruct patients on using specialized rehabilitation techniques and equipment to improve their functions in tasks such as eating, bathing, dressing, and basic household routines.
Dietitians provide counseling services to individuals who need professional dietary assessment and guidance to properly manage an illness or disability.
Home Health Aides (HHAs) assist patients with ADLs, such as getting in and out of bed, walking, bathing, toileting, and dressing. Some aides have received special training and, under the supervision of a nursing professional, are qualified to provide more complex services.
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