✓ 100% covered by traditional Medicare Part A
✓ Prevents care plan failure and rehospitalization
✓ Skilled nurse oversight for complex regimens
What's Included
What Management & Evaluation Covers
Management and Evaluation ensures that patients and caregivers adhere to the physician's prescribed plan of care. and that the plan is working. It is particularly critical for complex regimens involving multiple medications, conditions, or procedures.
Care Plan Implementation
Your nurse ensures the physician's prescribed care plan is being followed correctly. adjusting as your condition evolves.
Medication Management
Complex medication regimens are monitored, reconciled, and taught. reducing errors, interactions, and unnecessary hospitalizations.
Ongoing Evaluation
Regular skilled assessments track your progress and identify any deviations from the expected recovery path.
Care Plan Modification
When your condition changes, your nurse modifies the care plan in real time. no waiting for a physician office visit.
Caregiver Training
Family members and caregivers are taught how to safely support the care plan at home. reducing caregiver burden and improving outcomes.
Physician Communication
Your nurse serves as the link between you and your physician. reporting findings, requesting orders, and ensuring continuity of care.
When It's Appropriate
When Does Medicare Cover Management & Evaluation?
✓Complex medication regimens requiring skilled oversight
✓Multiple chronic conditions being managed simultaneously
✓Post-hospitalization recovery with a detailed care plan
✓Patients who cannot self-manage their care plan safely
✓High risk of non-compliance or care plan failure
✓Conditions requiring frequent reassessment and adjustment
Source: Amedisys. Four Essential Services Skilled Nursing Can Provide In-Home
Common Diagnoses
Conditions We Manage
Heart FailureCOPDDiabetesHypertensionPost-Stroke RecoveryWound CareCancer CareChronic Kidney DiseaseParkinson's DiseaseArthritis
Complex Care Requires Expert Oversight
Contact us to find out if Management & Evaluation is right for your situation. Our Nurse Navigator will review your care plan and confirm coverage before care begins.