The fastest way for home health physical therapists to generate comprehensive, Medicare-compliant clinical narratives. Just tap chips, copy to EMR.
Patient reports decreased pain levels since the last skilled visit, allowing for increased tolerance of therapeutic activities. Vital signs were monitored throughout the treatment session and remained stable. Patient ambulated 150 feet, approaching the distance required for independent household ambulation. Trendelenburg gait pattern was observed, indicating hip abductor weakness; skilled intervention included targeted hip abductor strengthening exercises with manual resistance, neuromuscular re-education techniques, and verbal cueing to improve pelvic stability during stance phase. Home exercise program was instructed and demonstrated, individualized to specific impairments and functional goals. Medical necessity for continued skilled physical therapy services has been established based on ongoing functional deficits and safety concerns.
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Every phrase crafted to demonstrate skilled intervention and medical necessity per Medicare guidelines.
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Every aspect of the home health PT visit, organized for clinical flow.
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