Home Care Agency Forms

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Encouraging Physicians to Properly Complete Face to Face Encounters

Physicians may find themselves being denied payment by CMS for Case Management overseen fees and office visits due to poor documentation in their patient\\\'s medical record.

CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

Understanding Medicare Secondary Payer (MSP)

Understanding the role that Medicare Secondary Payer plays to patient care and your agency is critical.

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."


Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

OASIS Tip - M1600 Patients discharged with an UTI on discharge and PAEs Report

Are your Potentially Avoidable Events (PAEs) Report showing an increase in patients being discharged while having an UTI?


Patients falls are a marker of frailty, immobility...

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

Home Health Care Agency Form Creation

Every home health agency must have up-to-date mandatory forms requiere by state and federal (CMS, AHCA and OSHA) regulations and accrediting bodies for the patient medical record. It is imperative that forms that collect data that are part of the patient medical record are user friendly. See sample forms.

The patient medical record is a "legal" document and is protected under several federal and state regulations as HIPAA, AHCA (FL). Organizations as "American Health Information Management Association" (AHIMA) provides a "Guidelines for Defining the Health Record for Legal Purposes" and the "National Committee for Quality Assurance" (NCQA) also provides a "Guidelines for Medical Record Documentation".

Forms Gathering Data 

Other forms are usually developed by the organization to collect data to complete reports for survey as PAC and QI meetings, Utilization Review, patient and employee occurrence reports and infection control reports for employees and patients.

We can help your organization to decrease redundancies in paper work by ensuring that all paper forms in the medical record capture the information required.

Reviewed 1/2020