The Mechanics of Assessment in Routine Office Visits (ROV)

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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The Purpose and Form of the ROV Objective

Objective ROV The Objective portion of the ROV documentation plays a part in the reasonableness of care and medical necessity. If you consider that the subjective portion of the note offers the patient’s subjective assessment of his/her progress or lack thereof, the objective portion allows the provider to quantify that assessment. Keep the SOAP format...
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Documentation of Objective Findings Daily ROV

If a primary goal of a practice is to help people get better and achieve their functional goals, how can you determine if a patient is improving, regressing, or staying the same? You can’t rely solely on what the patient tells you as some patients unwittingly under report while others over report problems or progress. ...
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ROV Subjective Decision-Making Matrix

Download Support Tool Providers have much to consider as they review each established patient’s visit. Following the functional goals described in the treatment plan of the episode to apply best practices for subjective documentation. This includes recording the patient’s subjective assessment. Download and review this helpful Support Tool, meant to provide context and prompting about...
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