Recerting a patient

We have a patient who we have had on for quite sometime d/t COPD exacerbations, and CHF exacerbations. We are coming up to recert and was wondering if anyone has kept someone on for monitoring of CHF and COPD. The only thing we would be doing would be observing and assessing. I don't think we can continue home health based on that. Is there any way to keep him on for assessing symptoms of COPD?

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