Lawsuits, Lost Reimbursements & Increased Visit Costs: How to Avoid These Pitfalls with Improved Clinical Documentation


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Wound care has historically been dreaded by a lot of home health agencies. Taking on these patients meant you were taking on a lot of risk. Wound care patients commonly deal with a lot of complex conditions, and they require very resource-intense care, from both a staffing and supplies perspective. If the wound documentation is incomplete or inaccurate, it only compounds the problem – eating into your margins even more. Denied claims, unnecessary visits, increased dressing changes, and the most costly – litigation.

Wound lawsuits used to focus primarily on long-term care and acute care, but have started creeping into in-home care. A Florida court recently awarded over $3 million in damages to a patient because an agency didn’t document completely and accurately. Litigation has even gone as far as a license practical nurse being charged with aggravated manslaughter for inadequately treating pressure injuries.

During this session, our clinical documentation experts covered:

  • Nine essential elements of wound documentation and how to ensure your nurses complete them;
  • Common mistakes that lead to denied claims, unnecessary visits, supply waste and litigation; and,
  • Clinical best practices in wound documentation, care and reporting that reduce the risk of taking on wound patients.

With wound care being on of the most highly reimbursed under the PDGM, you don’t want to have to turn away patients just because you don’t have a handle on your documentation.