Physical Therapy Documentation Made Easy with Reliable Medical Transcription
A reputable and experienced medical transcription company can provide accurate transcripts of the physicians dictations in a timely manner.
MEDICAL TRANSCRIPTION SERVICE COMPANY 8596 E. 101st Street, Suite H Tulsa, OK 74133 Phone: 1-800-670-2809
Physical therapy documentation is essential for providing proper treatment and ensuring improved patient outcomes. The physical therapy notes may be in the form of dictations by physicians. These notes or dictations are then transcribed into proper medical records. A reputable and experienced medical transcription company can provide accurate transcripts of the physicians’ dictations in a timely manner. Physical therapy documentation includes the following: Initial Evaluation The initial evaluation is the first part of physical therapy documentation. It is generated during the first encounter of a patient. It is a very comprehensive record that includes the general details of the patient like patient history, diagnosis, test treatments, physical therapy assessment and plan of care. Daily progress notes Daily progress notes record the progress of the patient each day after the admission. It follows a SOAP format and also records the patient’s response towards treatment and medication. Re-evaluation This is more or less similar to initial evaluation but includes more information. Reevaluation notes are updated with disability status, revision of the treatment or setting of new goals if necessary. Discharge summary notes This is generated at the time of discharge of a patient. It includes all details from the admission of the patient till the discharge. A re-evaluation is done to see the current status of the patient upon discharge. It mentions current functional status, goals that were achieved, physician’s recommendations such as home exercise or medication etc. A professional medical transcription outsourcing company has an expert team of skilled transcriptionists who are knowledgeable in medical terminology, medical jargon, abbreviations etc. and also have good tying skills. They ensure 99 percent accuracy and also conduct multilevel quality checks to ensure that the output maintains excellent quality. Now, in the EHR era also, these service providers are very much in demand and offer EHR integrated medical transcription that is the need of the day.
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1-800-670-2809