LUPA & PDGM

Resumption of Care (ROC)

Resumption of Care (ROC) occurs when a patient returns to home health services after an inpatient stay.

Definition

A Resumption of Care (ROC) occurs when a patient returns to home health services after an inpatient stay, such as hospitalization or admission to a skilled nursing facility.

Why it matters

An updated assessment and revised care plan ensure continued eligibility and accurate documentation for Medicare reimbursement.

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SOC vs ROC vs Recertification: What's the Difference?

SOC, ROC, and Recertification all involve OASIS and Medicare documentation, but each serves a very different purpose. This guide breaks down what each assessment is, when it's required, how it affects reimbursement, and the mistakes agencies should avoid.

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