ROV Plan Overview Routine office visit documentation can be more succinct and direct than that of an initial visit for an episode of care. Examples of this are found in the plan section and the full treatment plan in the corresponding section of an initial visit. At the beginning of an episode of care, the…
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This Rapid Tutorial compares the Routine Office Visit Plan to an initial treatment plan and demonstrates their differences. The ROV is the execution or application of the initial treatment plan. For example, what did you do with the patient today? We look under the ROV Plan’s hood to see the uniqueness and detail that makes…
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Examples of Assessments for Comparison Daily (A)assessment is a key element that is often missing from ROV documentation. The daily assessment is the provider’s opportunity to provide context to the findings of the visit. What is learned in the Subjective and the Objective portion of the visit is then interpreted and affirmed by the provider…
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When a patient is in active treatment, it can be difficult to properly document progress without repetition or using canned language in the software. Watch this brief, informative video on how to translate your clinical thoughts into brief Assessments for each visit. Doctors know how their patients are coming along and what they want to…
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The Doctor’s assessment is the element most frequently missing in routine visit chiropractic documentation. It’s common to use brief comments regarding a patient’s improvement, or lack thereof, but what’s necessary is to clarify the thought process behind the rationale for current and continued care. A well-documented assessment tells the story of the patient’s return…
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This Rapid Tutorial provides a high-level overview of the purpose and intention of this important part of a daily SOAP note. Assessment is not just a restating of the diagnosis. It’s where the doctor explains the patient’s progress or lack thereof. It provides the context for HOW the patient is doing, and WHY s/he may…
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