End-of-life care: defining a society.
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Biomedical subjects
Publications and source records attributed to T M Marrelli.
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Home care practice demands role clarity and definition. To this end, the American Nurses Association addressed these standards in the Standards of Home Health Nursing Practice. These standards and the listed responsibilities should be a part of nursing orientation to home care practice and operations. In the ever-changing health care environment, which has created multifaceted nursing roles unique to home care, these standards can become the framework for effective home care nursing activities.
The creation of effective home care documentation serves many important purposes. From a payor perspective, such as Medicare, the clinical documentation can provide the basis for covered care. On the other hand, poor documentation can raise questions about medical necessity and even eligibility criteria, such as the patient's homebound status. Documentation can either support payment for covered services or begin the cycle toward increased requests for information and more-focused medical review processes. The following discussion provides key tips, information, a comprehensive checklist, and outcomes examples that support the creation of "best practices" for home care organizations related to clinical documentation.
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Explore the source record for details and available documents.