At Celestix Communications, we proudly support Home Health Care agencies across Michigan — including Detroit, Grand Rapids, Lansing, Flint, Ann Arbor, Sterling Heights, Warren, and surrounding cities — by ensuring every operation, visit, and clinical documentation fully complies with the Centers for Medicare & Medicaid Services (CMS) guidelines. At Celestix Communications, our mission is to empower Michigan’s Home Health Care agencies to deliver exceptional, patient-centered care by providing reliable communication support, scheduling coordination, intake management, and CMS-compliant documentation services.

Types of Home Health Care Visits (As per CMS Guidelines)

Home Health Care visits in Michigan are always based on the physician’s plan of care and the patient’s individual needs. Each visit type plays a vital role in ensuring quality outcomes and regulatory compliance.

1. Start of Care (SOC)

A comprehensive initial assessment performed by a Registered Nurse (RN) or a qualified therapist to begin services. It includes a full health evaluation, medication review, and care planning per CMS Section 484.55.

2. Resumption of Care (ROC)

Conducted after a patient returns home from a hospital or inpatient facility. The clinician reassesses the patient’s condition and updates the plan of care to resume safe, effective services.

3. Follow-up Visits

These are ongoing skilled nursing or therapy visits to track progress, manage medical conditions, or provide treatments such as wound care, injections, or physical therapy.

4. Recertification (RC)

Completed at the end of each 60-day certification period to verify continued eligibility for Medicare Home Health coverage. Documentation must justify ongoing skilled need and homebound status.

5. Discharge (DC)

Performed when the patient’s goals are achieved or services are no longer required. This visit ensures complete documentation of the patient’s outcomes and discharge summary in compliance with CMS regulations.

Clinical Roles and Responsibilities in Michigan Home Health Care

Registered Nurse (RN)

• Leads Start of Care (SOC), ROC, and Recertification visits.

• Develops and updates the Plan of Care (POC) in collaboration with the physician.

• Provides skilled nursing such as wound management, IV therapy, injections, and medication administration.

• Monitors vital signs, assesses clinical progress, and reports changes promptly.

• Ensures OASIS-E documentation accuracy under CMS guidelines.

Physical Therapist (PT)

• Evaluates strength, balance, mobility, and gait.

• Designs a personalized rehabilitation plan to restore independence and prevent falls.

• Provides exercise programs, pain management, and mobility training.

• Documents measurable improvement as per CMS therapy standards.

Occupational Therapist (OT)

• Focuses on Activities of Daily Living (ADLs) such as bathing, dressing, and grooming.

• Provides adaptive strategies and recommends assistive equipment.

• Conducts home safety evaluations and energy conservation training.

• Collaborates with PT and RN for coordinated, holistic care.

Speech Therapist (ST / SLP)

• Assesses and treats speech, language, cognitive, and swallowing disorders.

• Provides speech-language exercises, swallowing safety education, and communication therapy.

• Documents progress and outcomes in line with CMS clinical documentation standards.

Home Health Aide (HHA)

• Delivers personal care assistance under RN or therapist supervision.

• Helps with grooming, hygiene, ambulation, and light homemaking tasks.

• Observes and reports any health or behavioral changes.

• Follows the Aide Care Plan designed by the supervising clinician.

Medical Social Worker (MSW)

• Evaluates the patient’s social, emotional, and financial needs.

• Connects patients with community support programs and counseling services.

• Coordinates long-term care planning and family education.

• Documents all interventions in compliance with CMS requirements.

CMS Compliance and Quality Assurance

At Celestix Communications, all Home Health Care services in Michigan follow CMS Home Health Conditions of Participation (CoPs) to ensure quality, safety, and transparency.

We strictly adhere to:

• Comprehensive OASIS-E assessments for accurate clinical reporting.

• Interdisciplinary collaboration among RN, PT, OT, ST, MSW, and HHA.

• Physician-signed Plan of Care (Form 485) for every active patient.

• Regular Quality Assurance & Performance Improvement (QAPI) audits.

• HIPAA-compliant communication and secure clinical documentation.

• Infection control and patient safety protocols under §484.70.

• Emergency preparedness and staff competency programs per CMS §484.102.

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