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Our facility is in the process of building electronic documentation with the

Meditech platform. I feel pretty good about our evaluation process that we have

built. I am concerned about our daily notes in all three disciplines, since the

format will be moving from the current narrative pen and paper in which we can

include evidence of skilled need/care, ongoing medical necessity, and subtle

changes in patient presentation to a point and click version with 75 character

text allowances. Does anyone have experence with what payers think about this

type of documentation when we are asking for more visits or or justifying

reimbursement. To those that have gone through this process already, how have

you built forms that capture the varied patient populations and clinical

conditions that PT, OT and ST can see across care settings without allowing

significant narrative text? Any insight those that have gone before can share

would be very appreciated!

Debbie

PT

Kentucky

Debbie Neff, PT, MSPT, CLT

Rehab Services Manager

St. Regional Medical Center

Morehead, Ky

606 783-7694

daneff@...

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