The discharge summary is a very important part of the required documentation during a patient’s episode of care. This is essentially your last chance to support the medical necessity of the skilled services you provided.
The Patient Contract: Their Role in Their Plan of Care By: Cheryl “Chae” Dimapasoc Canon, PT, DPT; OptimisPT Director of Implementation and Compliance One of the biggest challenges in therapy remains getting the patient to consistently adhere to their prescribed home exercise program (HEP). We found some great articles that Read more…
Administering Functional Outcome Measures: Considerations for Maintaining Validity and Efficiency By: Jennifer Heiligman, PT, MPT Outcome measures are validated functional scales or surveys used to assess a patient’s functional deficits and impairments with the resulting findings used to establish a treatment plan and goals for therapy leading to better outcomes. Read more…
When to Use a Progress Report vs. a Plan of Care When Treating Medicare Patients By: Jennifer Heiligman, PT, MPT We all know Medicare likes to keep us on our toes in terms of outpatient rehab therapy documentation requirements. In addition, those requirements are not always communicated in the clearest Read more…
Setting Goals in Your Therapy Documentation: Audit Pitfalls and Recommendations By: Cheryl “Chae” Dimapasoc Canon, PT, DPT; OptimisPT Director of Implementation and Compliance Setting goals within the initial evaluation is a place where many therapists get “stuck” as they try to ensure they satisfy the stringent requirements set by the Read more…
2021 Resolutions for Improving Your Therapy Documentation: Resolution #5: Increase Patient Engagement. Improve outcomes and patient satisfaction by using the features of our patient engagement suite. The Patient Engagement suite within OptimisPT is the easy and efficient way for your practice to promote patient engagement. The suite includes a Read more…
Resolution #4: Better Classification of Patients. Quickly classify patients based on published clinical practice guidelines and streamline your documentation with recommended content and treatment considerations. Some therapists can classify the patient’s impairments after just watching them walk across the room. Others need a little more time and information before making Read more…
Resolution #3: Provide Better Justification for Treatments Rendered. Decrease denials and increase the likelihood for success in an audit. Utilize our built in prompts and alerts throughout documentation to guide proper coding and billing practices. Ensure optimal compliance through CPT codes that are both captured correctly and appropriately described based Read more…
2021 Resolutions for Improving Your Therapy Documentation: Resolution #2: Maintain Compliance. Take the guesswork out of compliance with our alerts, prompts and reminders. OptimisPT prides itself on facilitating compliant documentation and helping the therapist stay within regulatory requirements. We have built in alerts, prompts and reminders including those to alert Read more…
2021 Resolutions for Improving Your Therapy Documentation: Resolution #1 Improve Efficiency The beginning of the year usually holds time for resolutions and a promise to yourself to improve from the prior year. We’ve identified five “resolutions” regarding areas of your therapy documentation that could probably use some improvement and how Read more…