Documentation of the treatment process is an important part of any therapeutic regimen as a record of client care it provides useful information for the practitioner other members of the health care team and third party payers. C process leads to documentation of impairments functional limitations and disabilities d guides the physical therapist to a diagnosis and prognosis for each patient client. Documentation authority for physical therapy services physical therapy examination evaluation diagnosis prognosis and plan of care including interventions shall be documented dated and authenticated by the physical therapist who performs the service interventions provided by the physical therapist or selected interventions provided by . To successfully complete flr therapists must document each patients primary functional limitation and the severity of the limitation along with the patients goal for therapy providers submit this data using g codes corresponding severity modifiers and therapy modifiers. 1 documentation of a diagnosis include impairment and functional limitations which may be practice patterns according to the guide to physical therapists practice icd9 cm or other descriptions prognosis 1 documentation of the predicted functional outcome and duration to achieve the desired functional outcome plan of care 1
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