For Healthcare Professionals

Refer Homecare Patients to Axzons Homecare
For Physicians

Home is where your patients are most comfortable. So we’re here to help them recover from an illness, accident or surgery with specialized care. And we’re bringing it right to them.

Why choose us?

– Easy referrals – make one call or complete a simple referral form
– Continuity of care – seamless access to the full continuum of care offered by Axzons Homecare
– Quality and experience – providers of high quality care for over 35 years with positive outcomes
– Service – care can be provided in as little as 24 hours of your referral
– Availability – we’re ready to help 24/7
– Communication – always know the status of your patient with up-to-date communication


Home from the Hospital with Axzons Homecare

There are many cases in which expert home health care should be an integral part of your patients’ treatment and/or recovery process. In fact, research shows that hospitalized patients who don’t receive home health care are twice as likely to be rehospitalized as those who do.1

Required Physician Referral Forms

According to a provision in the Patient Protection Affordable Care Act, physicians wishing to order home health care services for patients covered by Medicare must schedule a face-to-face encounter with each patient. These visits must occur 90 days prior to, or within 30 days of the start of, a Medicare home health care episode, and each visit must also be documented using a Face-to-Face Encounter (FFE) Form.

AXH – Physician-Referral-Form
Includes FFE Form
Use this form to make a referral for Axzons home care. You can also use this form to document an encounter between you and your patient related to their need for home care and medical qualifications as homebound. Download


Includes FFE Completion Guide
This form can be used by those requiring a stand-alone version of the FFE form.

Home Care Eligibility Criteria

If you answer yes to any of the following questions, your patient may be a candidate for home health care. Axzons can help with a wide range of home health care solutions:

Does your patient require one or more of the following assessments?
  • Wounds
  • Pain
  • Social surroundings
  • Environmental home safety
  • Self-care skills
  • Response to new treatments/medicines
Does your patient require one or more of the following assessments?
  • Wound care
  • Catheter/tube care (insertion, removal, or maintenance)
  • Drainage tubes
  • Trach care (suctioning, oxygen)
  • Suture/staple removal
  • Infusion (antibiotics, pain management, and nutrition)
Does your patient require education on one or more of the following?
  • Medication administration
  • Disease management
  • Self care
  • Special diets
  • Assistive device, DME
Does your patient require one or more of the following:
  • Physical Therapy (PT)
  • Occupational Therapy (OT)
  • Speech-Language Pathology (SLP)
Is your patient “homebound” and unable to leave home without considerable and taxing effort?

To further refine your assessment of patient needs, Axzons Candidate Cards can help evaluate which patients are candidates for specific services and programs.

Medicare Definition of Homebound

For Medicare and some commercial/managed care insurance patients, the patient must be homebound to receive home health care services.

A “homebound” patient is defined as unable to leave home without considerable and taxing effort and must meet Criteria 1 and Criteria 2 as outlined in the table below.

Keep in mind that patients who leave home infrequently for short durations or for healthcare may still be considered homebound. These situations may include (but are not limited to):

  • Attending a religious service
  • Going to get a haircut
  • Walking around the block
  • Attending a family event, funeral, graduation or other unique event
  • Receiving outpatient kidney dialysis
  • Receiving outpatient chemotherapy or radiation therapy
 Criteria 1 Criteria 2
Needing the aid of a supportive device due to illness or injury:

  • Crutches
  • Wheelchair
  • Walker
  • Use of special transportation
  • Assistance of another person in order to leave home, including for cognitive or psychiatric impairments


Having a condition where leaving home is medically contraindicated

Normal inability to leave home and leaving home requires considerable and taxing effort:

  • Exacerbated symptoms from leaving home, e.g. shortness of breath, pain, anxiety, confusion, fati

Learn more about our specialized care and support.

        Refer your Homecare Patients to Axzons
Benefits of Axzons Homecare At Home
– Exceptional care delivered by qualified specialists
– Faster recovery in the comfort of home
– Fewer hospital and ER visits
– Education and skills needed to manage conditions
– Maintained independence and enhanced quality of life
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