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Q: Can you clarify the reporting of dates on the plan of care for diagnosis onset and exacerbation?

Homecare Insider Q&A, December 3, 2009

A:    The instructions for completion of the plan of care, before the Centers for Medicare and Medicaid Services (CMS) deleted them from the CMS Internet-only Manuals in 2007, directed reporting of the date of onset or exacerbation on every plan of care.  Because those instructions no longer exist, an agency can determine its own course of action.  However, because the date helps to support the need for skilled homecare services, it remains a good idea to include it for sure on the initial plan of care and probably, every plan.

The Beacon Academy course, “Completing the Plan of Care,” presents an organized, step-by-step guide based on the CMS’ instructions.  Click here to learn more about this e-learning lesson.