Monthly Archives: December 2011

By Jerry Henderson
| on December 29, 2011

Why your Physical Therapy EMR Note is More Accurate

I recently read an interesting article written by Ron Sterling at KevinMD.com called Why your EHR note may not be accurate.  He makes some interesting points, including: There are a variety of reporting and presentation options available from a visit note.  So, the accuracy of a report derived from the visit documentation depends on how much of the information from the visit is included in a particular report format. Some systems may add text to

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By Jerry Henderson
| on December 16, 2011

The Importance of Medical Necessity in Physical Therapy Documentation

The Clinicient Clinical Advisory Group is composed of seasoned clinical leaders who meet regularly to advise us on important trends in the industry.  In a recent meeting with the group, much of our discussion centered around the importance of documenting medical necessity with functional and clinical findings. Everyone in the group agreed that including results from clinical tests and measurements (Range of Motion, Strength, Balance, etc.) in documentation is not enough to document medical necessity.  Here

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