Timed chart entries

[Guest guest]

Our therapists document when they enter the room, and when they exit the room on

each patient. They then break down the number of minutes by CPT code. For

instance, a patient was treated from 8:00 - 9:00 AM. 30 minutes was gait

training, 30 minutes ther. ex. We have a grid on our daily documentation for

all of this. They enter their time. This also guides their charging. We have

found that it helps us be more accountable for what we charge. If there is a

question with a bill, we have very good documentation to support it. If there

is not good documentation, we have to credit the charge. We also do not have

electronic documentation yet. Our detail oriented therapists do very well with

this. Our non-detailed oriented therapists have had to work very hard to keep

up with this, but they are getting it. Nobody is perfect, and mistakes do

happen.

Robyn Holland, PT, GCS, Acute Care Therapy Manager