Get 60 Day Chart Review - Homehealthforms.com

Completing the 60 Day Chart Review is a critical step in ensuring proper patient care and documentation in home health settings. This guide provides a clear, step-by-step approach to help users efficiently fill out the online form and stay compliant with healthcare standards.

Follow the steps to accurately complete the 60 Day Chart Review form.

1. Press the ‘Get Form’ button to access the 60 Day Chart Review and open the document for editing.
2. Fill in the patient's name and the certification date at the top of the form.
3. In the section titled 'The 485', ensure that the form is signed by both the RN and MD, and that it has a date stamp upon return.
4. Check whether all medications are listed with the required information including reason for, dose, and frequency, and note if any are new or changed.
5. Review the supplies listed and verify if the goals presented are realistic and measurable.
6. Confirm that there is an established timeframe for daily visits and that the recertification is signed and returned prior to the initiation of the next certification.
7. In the 'Orders' section, verify that there is an order for admission/recertification and that all required disciplines are included based on the patient's condition.
8. Ensure that all orders are signed or cosigned by the RN and that any changes in care or condition are reflected with updated goals.
9. Under 'Case Conference', confirm that conferences occur at least every 60 days and reflect the patient's status, treatments, and prognosis.
10. Make certain there is documentation showing coordination of care between different disciplines involved.
11. In 'Nursing Assessment', check that the Oasis assessment is completed, signed, and dated by the assessing nurse, matching the diagnosis to the Oasis.
12. Verify that the 485 accurately reflects the assessment and that occurrences are documented accordingly.
13. Assess the nursing notes to confirm frequency was met, missed visits reported, and if the patient's response and homebound status are documented.
14. Review the 'Medication Profile' for agreement with the 485, ensuring that the profile is updated and labeled appropriately.
15. Evaluate documentation under 'Therapy' for ordered frequencies, missed visits, and therapy-related diagnoses on the 485.
16. Fill out the HHA and other services section by confirming ordered frequencies and that the plan of care is being followed.
17. Finally, make sure the RN signature and date are provided at the end of the form before saving.

Begin completing your documents online today to ensure compliance and quality patient care.