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Clinical Documentation in Home Health Care (2)

Arizona Association for Home care 2011 Conference -Friday Documentation in Home Health CareStephanie Bivens, JD, CELAK elly J. McDonald RN, JDBivens & Associates, PLLC5020 E. Shea Blvd., #100 Scottsdale, AZ 85254(480)922-1010 Association for Home care 2011 Conference -Friday of Clinical DocumentationQuality and Continuity of care Satisfy Regulatory ComplianceEnsure payment (Medicare)Arizona Association for Home care 2011 Conference -Friday and Continuity of care Clinical Documentation should begin with a complete assessment and evaluation of the patient. Clinicians must record all details of their evaluation, clearly establishing he patient s condition upon start of treatment. This is the benchmark for tracking treatment progress. Each clinician must develop a thorough plan of care delineating a Clinical route for getting the patient from their starting point to a higher level of Health and functionality.

Arizona Association for Home Care 2011 Conference -Friday Session www.azhomecare.org 4 Satisfy Regulatory Compliance Š AAC R9-10-1106. Plan of Care Š A. Home health services shall be provided by the home health agency in accordance with a written plan of care established and authorized by a physician in consultation …

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