Frequently Asked Questions About Documenting Medical Necessity
By Jill Dyer, BSN, RN, HCS-D, HCS-O of J.I.D. Consulting and Coding, LLC

Documenting medical necessity accurately and thoroughly is essential for all home health agencies. Yet it’s a challenge for even the best home health professionals. Your team must be prepared to clearly illustrate the patient’s continuing need for skilled services — across the entire episode — to protect your reimbursement.

In this new tip sheet, home health consultant Jill Dyer answers your most frequently asked questions after our recent webinar, Documenting Medical Necessity. A video of the original full 60-minute webinar is available on-demand now at

Download for answers to questions such as:

  • What information must clinical notes include?
  • What questions do surveyors focus on during chart reviews?
  • How do you document goals and progress to goals?

This valuable handout is ready to print and use. Be sure to share it with your team!


About Kinnser

Kinnser creates the software solutions that power post-acute care. Kinnser leads the industry by consistently delivering the smartest, most widely used solutions for home health, private duty home care, therapy and hospice. With an enduring focus on customer success, Kinnser helps post-acute care businesses reduce expenses, increase revenue, streamline processes and improve care. For more information, visit or call toll free 877.399.6538.