When admitting new patient, search for patient by name, SSN, Medical Record Number or DOB within the facility.
Admit Patient Results
Choose the new patient from the list if a re-admit. If this patient is new to the facility, simply add new patient.
Manage your patient’s demographic data and caseload. Current and previous cases are easily accessible. If integrated with EMR, demographic data is pre-loaded.
PT Screening Form
Perform a therapy screening per discipline to determine if resident is a candidate for therapy.
Patient Case Part A Management
Manage a patient’s case or stay. Supply payor source, admit date, physician and other data in order to bill and document properly. For Part A residents you will need to supply PDPM assessment information.
Patient Case Part B Management
For Part B residents, enter therapy cap used data from the common working file to ensure proper KX modifiers are added to treatments.
Patient PDPM Assessment
For a Part A patient, a PDPM assessment must be completed to calculate the patient’s case mixes. Assessment date Primary SNF diagnosis, section GG admission and SLP considerations all contribute to this process. If there is a significant change in the patient’s status, you use this same process to add an IPA assessment.
Patient PDPM Assessment Worksheet
After PDPM assessment information has been provided, view the PDPM case mixes and daily therapy rate that have been calculated.
Patient Plan of Treatment
Each discipline that will be treating a patient will need to create a Plan of Treatment or POT. Provide ICD10 codes and expected minutes. From this one screen you can find the patient’s documentation record and treatment logs.
Patient POT Documents
The complete document record or the plan of treatment can be accessed from the POT screen. Add new documents as needed or view/print any document on file.
Patient Plan of Treatment
Print all documentation related to a plan of treatment or choose selectively which to print.
Barthel ADL is just one example of an extensive array of supporting documents that can be chosen. Others include Tinetti Assessment, BIMS Test, Function Reach, PHQ~9 and Mini Mental.
Patient PT Evaluation
An extensive and thorough Evaluation is provided to access the patient and formulate treatment plans and goals. For example, evaluate the patient’s ROM, Strength and Endurance, Balance, Pain and many other categories.
All items on the evaluation allow you to set goals, both short and long term.
Patient OT Progress Note
Document the patient’s weekly progress and update their goals as they advance through the treatment plan. Add new goals as needed and retire goals that have been achieved.
Patient Section GG Admission
The Section GG Admission for Part A patients is critical for determining PDPM case mixes. This document is a required part of a Part A patient’s document record and should be provided to the facility’s MDS coordinator.
Patient Case Selective Document Print
Print all documentation with a single click or choose selectively which documents to print. Easily print a patient’s entire document record if needed for an audit.
The treatment page is laid out with commonly used HCPC codes available for instant treating. For less common, select from an available list. A library of phrases is provided to assist in generating a daily note.
Patient Treatment Build a Note
For each HCPC code, choose from a library of common phrases. String more than one phrase together to build a complete daily note.
Track a part A patient’s stay with the 100-day tracker. See daily minutes provided and percentage of group and concurrent treatments. The estimated therapy daily rate is also displayed each day of the calendar.
Easily print assessments for the facility’s MDS coordinator. This has all the required data for the MDS section O. If integrated with the facility’s EMR, this data will pass up automatically to the MDS.
POT Treatment List
Review HCPC codes, minutes, units or daily notes by viewing previous treatments.