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Quarterly Client Chart Audit Checklist

Enhance your agency’s compliance, quality assurance, and operational efficiency with the Quarterly Client Chart Audit Checklist—now

available as a fillable PDF and editable Word document. Specially

designed for home care agencies, this digital form streamlines the

quarterly audit process, ensuring thorough documentation and regulatory

compliance.

Key Features:

  • Fully Fillable & Editable:
    Choose between a fillable PDF for easy, secure digital completion or an editable Word format for full customization to your agency’s needs.
  • Comprehensive Audit Categories:
    Covers all critical areas, including:
    • Client information and physician documentation
    • Assessment and service planning
    • Service documentation and EVV (Electronic Visit Verification) compliance
    • Staff training and annual ANE (Abuse, Neglect, Exploitation) acknowledgments
    • Incident reporting and inter-provider coordination
    • Billing accuracy and record retention
  • User-Friendly Layout:

    Simple checkboxes for compliance (✔/X), space for comments, and corrective action planning make audits efficient and actionable.

  • Regulatory Alignment:

    Designed to help agencies meet state regulations and industry standards, supporting ongoing licensure and accreditation requirements.

  • Quality Improvement Tool:

    Use audit findings to identify trends, guide staff training, and implement targeted quality improvement measures.

  • Secure Recordkeeping:

    Promotes best practices in documentation and record retention, with

    prompts to ensure records are securely maintained for at least five years.

  • Instructions for Use:

    • Conduct audits quarterly for every client chart.
    • Document any non-compliance and outline corrective actions.
    • Leverage audit results for staff development and continuous improvement

    Perfect For:
    Home care agencies seeking a reliable, digital solution to maintain compliance, improve care quality, and simplify internal audits.

    Empower your team with the tools they need to deliver compliant, high-quality care—choose the Quarterly Client Chart Audit Checklist in fillable PDF or Word format today!

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