LUPA & PDGM

Plan of Care (POC)

Physician-approved document outlining the patient's diagnoses, goals, frequency of visits.

Definition

The Plan of Care (POC) is the physician-approved document outlining the patient's diagnoses, goals, frequency of visits, ordered disciplines, treatments, and expected outcomes for the home health episode.

Why it matters

All home health services should follow the approved plan of care to ensure compliance and reimbursement.

Free eBook

Home Health Documentation Playbook

The complete guide to OASIS-E, Medicare compliance, PDGM, and AI-assisted documentation. Learn how top agencies reduce documentation time without sacrificing compliance.

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Conversations on lupa & pdgm

Episodes from Inside Home Health that put Plan of Care (POC) in operational context.

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Related Blogs

Compliance

10 Ways to Write a Stronger Home Health Visit Note

A strong home health visit note creates a clear clinical narrative, what was assessed, what changed, what skilled care was provided and why, how the patient responded, and what happens next, not just a record that a task was completed. This guide gives 10 practical ways to write stronger notes, weak-vs-strong examples across nursing, therapy, and education, common mistakes to avoid, and a simple Assess → Interpret → Intervene → Evaluate → Plan framework.

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