AB Holistic Clinical Documentation

Timeliness Policy

Effective Date: January 1, 2026

Purpose

To ensure timely, accurate clinical documentation that supports continuity of care, reduces risk, and enables appropriate reimbursement.

Policy Statement

All clinical documentation must be completed and signed within established timeframes. Timely documentation is required to support participation and reimbursement.

Requirements

All clinical notes must be completed and signed within 72 hours of the encounter.
• 48 hours is the standard expectation.
• Same-day completion is expected when feasible.

Definition of Completion

A note is considered complete when it is finalized, signed by the rendering provider, and includes all required clinical elements per organizational and regulatory standards.

Compliance & Enforcement

Notes not completed within 72 hours may be subject to non-payment.
• Repeated non-compliance may result in further administrative review and corrective action.
• Compliance will be monitored regularly through documentation audits and reporting.

Exceptions

Exceptions may be considered under circumstances such as system outages, approved leave, or other extenuating circumstances as determined by leadership. Providers must communicate proactively when barriers arise.

Responsibility

All providers are responsible for adhering to this policy. Leadership will provide support and oversight to ensure compliance.