A home health nurse has completed a visit to a patient and has immediately begun to document the visit. Accurate documentation that is correctly formatted is necessary for which of the following reasons?
A) Accurate documentation guarantees that the nurse will not be legally liable for unexpected outcomes.
B) Accurate documentation ensures that the agency is correctly reimbursed for the visit.
C) Accurate documentation allows the patient to gauge his or her progress over time.
D) Accurate documentation facilitates safe delegation of care to unlicensed caregivers.
Ans: B
Feedback:
The patient's needs and the nursing care provided must be documented to ensure that the agency qualifies for payment for the visit. Medicare, Medicaid, and other third-party payors (i.e., organizations that provide reimbursement for services covered under a health care insurance plan) require documentation of the patient's homebound status and the need for skilled professional nursing care. Documentation does not guarantee an absence of liability. Documentation is not normally provided to the patient to gauge his or her progress. Documentation is not primarily used to facilitate delegation to unlicensed caregivers.
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