Issues with home care agency

Nurses General Nursing

Published

Specializes in med/surg, home health, nursing education.

I resigned from my home care agency. I have completed all documentation but they want me to stay on for 2 weeks to have everything reviewed. I told them no that I did my documentation and they are threatening to turn me into the SBON. Can they legally do this? My charting is complete... they just want want me to wait and fix it per their standards for reimbursement.

Is there a reason you did not give a 2 week notice?

Specializes in med/surg, home health, nursing education.

I gave one month's notice!!! They want me to stay beyond that!

Well then I would not give them one more minute of my time. I believe they are just trying to scare you. I worked HH, albeit briefly, and I know how anal they are with documentation. As long as you are sure all loose ends are tied up, I would not stay.

What are they threatening to turn you in for? I'd move on.

Specializes in med/surg, home health, nursing education.

Essentially, they want me to wait until all of my OASIS documents are reviewed by QI/QA and then change answers according to their likes and preferences... which I think is fraud since I am the one that assessed these people. I have made corrections to my documentation as needed. I am a full-time nursing faculty and even working home care one day per week was getting to be too much - that is why I gave a month's notice. I do not have time to sit around and wait for corrections to come back. I have no idea what they would even report me to the SBON for... it can't be falsifying patient records because everything I have is truthful and accurate.

Specializes in Vents, Telemetry, Home Care, Home infusion.

You gave the HHA plenty of notice. Your manager should have made sure your documentation was reviewed prior to last day worked so any QI/QA issues addressed. It is QI's job to make sure documentation meets Medicare and reimbursement guidleines: there can be a request to reprioritize diagnosis or add diagnosis based on your documentation but if you do not agree, can not be forced to change it.

Agency is unable to report you to BON as long as meet Home Health standards.

Specializes in Critical Care, Education.

Agree with PP - this situation sounds uncomfortably close to 'fraud & abuse' territory.

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