POC Compliance
The POC Compliance validation checks to ensure the required compliance rules were fulfilled according to the authorizing Contract; compliance rules differ from Contract to Contract.
On the Contract Setup page, review Contract rules specified by the Required Compliance field, as seen on the image below and described in the table underneath.
|
Required Compliance |
Description |
|---|---|
|
Contract Compliance |
At least 5 duties must be entered; 1 must be a Personal Care duty. |
|
Personal Care Compliance |
At least 1 Personal Care duty must be entered. |
|
No Compliance |
No duties are required to pass validation. |
|
Patient POC Compliance |
If duties are selected here, and the duties are also entered on the Patient’s POC, they are always required. |
|
Count Refused Duties… |
If selected, refused Duties count towards the required total. |
For example, Caregiver Jon enters four duties for a visit, authorized by the Contract ABC Care. ABC Care requires Contract Compliance. The following image illustrates the visit held at Prebilling due to a POC Compliance issue the contract requires 5 Duties entered. To correct, click the Edit icon to route to the visit.
On the Visit Info tab, scroll to the POC Duties section. Manually select the duties performed or refused and click Save.
Duties may be entered as Refused even if they do not count towards the compliance total.
Ensure that all internal Agency policies for updating Reason, Note, Audit, and Timesheet options are followed when making manual changes.
When a contract has the POC Compliant prebilling option selected at setup, all visits under that contract require that the POC is selected for each visit when scheduled. This update applies to Non-Skilled visits and all contract types.
From the Schedule tab, select the associated POC from the POC field.
Not selecting a POC at the visit level results in a No POC Attached to Schedule prebilling hold, as seen in the following image on the Visit Info tab.
