Comprehensive, consistent, and complete clinical documentation is critical for home health care agencies for the quality of care to the patient and optimum reimbursement. Improving the quality of clinical documentation will significantly enhance the quality of care and patient satisfaction while reducing the risk of compliance issues during surveys. Compliance issues during the survey may lead to reimbursement delays or reductions.
Home Health Care Agencies should implement Clinical Documentation Improvement (CDI) programs to understand that clinical documentation starts at referral and must be managed throughout patient care (Admit through Discharge).