Device dependence is a strong support for homebound status through the need for frequent skilled care; document the patient-specific evidence when present and do not overstate it.
Device-related evidence that supports homebound status
Dependence on an indwelling line, drain, or device requiring frequent skilled care the patient cannot self-manage.
Home infusion or enteral feeding that requires skilled administration and monitoring and makes leaving home a taxing effort.
A device and its management that restrict activity and the ability to leave home safely.
A need for assistance and a taxing effort to maintain the device and access care outside the home.
