Documentation 171 - 172

Course overview

Hour 1 *Know how to document exactly what's required for initial visit treatment plans including physical medicine procedures. *Apply sample language to include in each daily visit note that will meet documentation guidelines for these modalities and procedures, including properly recording time for timed services. *Command the mechanics of how to authenticate documentation for services provided by auxiliary team members. *Tie the patient's diagnosis to the treatment plan for tissue-specific, physical medicine solutions. *Tell a complete and coherent account of the patient's daily visit journey, outlining the crucial language necessary to justify medical necessity for all services rendered. Hour 2 *Recognize and document the difference between active and maintenance care. *Use a decision-making matrix to determine the reportability of active treatment, and to be able to help the patient understand the distinction. *Apply the Medicare standard of recordkeeping to intake requirements to establish a baseline for episodes of care. *Determine whether routine visits qualify as active treatment when presented with new and updated complaints.