When I worked as a Home Health Nurse, my first responsibility was to determine if the referral to admit the patient to services met the criteria of Medicare’s definition of being homebound. “Medicare considers you homebound if: You need the help of another person or medical equipment such as crutches, a walker, or a wheelchair to leave your home, or your doctor believes that your health or illness could get worse if you leave your home.”
If the patient did not meet the homebound status, I was required to notify the physician that the admitting diagnosis and/or the condition of the patient did not qualify for Home Health Skilled Nursing services. And that is when the tug-of-war began. For patients who walked with a cane, yet, continued to drive an automobile as one of their daily activities did not meet the standards for receiving nursing care in the home and would not qualify for Medicare financial reimbursement. Those cases were easy to determine; however, it was the patients that were self-care and had a minor change in their condition, that did not require the services of a Registered Nurse that we often received referrals for.
It was rare that the referring physician actually completed the Referral form. The tedious paperwork required to prove eligibility was usually assigned to an employee who possessed excellent clerical skills but lacked the knowledge of selecting documentation to substantiate the referral to Home Health services. During the admission visit, if the patient did not meet Medicare’s stringent guidelines, much time was devoted to numerous follow-up phone calls to request additional medical history or proof of present homebound status.
The responsibility on my shoulders was great, Medicare and the Agency held the Home Health Admission Nurse accountable for an accurate assessment, and the written documentation that the patient met their guidelines. Eligibility to admit a patient to home services will always be based on the evaluation and judgment of the Clinical nursing staff. Even so, Home Health agencies now employ Referral Coordinators with a background in medical records or nursing to alleviate the burdens of the Admission nurse.
Can you imagine needing referral and evaluation from another individual to receive Eternal life? I tremble at the thought of another person possessing the responsibility to intervene or to make a recommendation on my behalf. Who would have the opportunity to claim God’s promises of living in a New Heaven and a New Earth if our Salvation was dependent upon another human being?
Where would we be without Jesus? Without Jesus, I’d be lost and in a hopeless situation.
Thomas said to him, “Lord, we do not know where you are going. How can we know the way?” Jesus said to him, “I am the way, and the truth, and the life. No one comes to the Father except through me. John 14:5-6
Thankfully, we never have to consider the thought of human intervention regarding our Salvation. Because Jesus Christ is the only way that we can be saved, it is a 1:1 relationship based only on your acceptance and faithfulness to follow Him. Jesus’ commitment to die for all of humanity has entitled Him to be our only Advocate and Intercessor, whereby we can be saved. The Son of Man, who is perfect in all His ways, relinquished His Divinity to suffer for you and I. Yes, this is a reason to tremble, we are recipients of a gift that we will never deserve.
There are two scriptures that will keep our spiritual eyes focused on the reward that Christ has for those who are faithful. The Apostle Peter admonishes us to live by these standards: 7 The end of the world is coming soon. Therefore, be earnest and disciplined in your prayers. 8 Most important of all, continue to show deep love for each other, for love covers a multitude of sins. 1 Peter 4:7-8.
With the chaos and devastation of the coronavirus still sweeping throughout the world, you may ask yourself, “How much more can we take?” We will experience even more tribulation until Jesus comes again. Still, we can and should live without worries, “I have told you these things so that in Me you may have peace. In the world, you will have tribulation. But take courage; I have overcome the world!” John 16:33.
Believers acknowledge and accept the power of our Spiritual team. We can always depend on God, Jesus Christ, and the Holy Spirit. Have private talks with God throughout the day, evening, and night. Jesus’ Second Coming is closer with each passing day. And if I go and prepare a place for you, I will come again and will take you to myself, that where I am you may be also. John 14:3
Stay encouraged. Read Revelation chapters 21-22. We are nearing home! Jesus is Coming! On that day, the people will proclaim, “This is our God! We trusted in him, and he saved us! This is the LORD, in whom we trusted. Let us rejoice in the Salvation he brings!” Isaiah 25:9
Soon and very soon, we will be able to shout, “Hallelujah, we are home!”
The Hope of Eternal Life
All praise to God, the Father of our Lord Jesus Christ. It is by his great mercy that we have been born again because God raised Jesus Christ from the dead.
Now we live with great expectation, and we have a priceless inheritance—an inheritance that is kept in heaven for you, pure and undefiled, beyond the reach of change and decay.
And through your faith, God is protecting you by his power until you receive this Salvation, which is ready to be revealed on the last day for all to see. So be truly glad.
There is wonderful joy ahead, even though you must endure many trials for a little while. These trials will show that your faith is genuine. It is being tested as fire tests and purifies gold—though your faith is far more precious than mere gold.
So when your faith remains strong through many trials, it will bring you much praise and glory and honor on the day when Jesus Christ is revealed to the whole world. 1 Peter 1:3-7
© Sonya Johnson Ruiz 2020, No part of this publication may be reproduced or transmitted for commercial purposes without the written permission of the author.