MedSLP Progress Note Documentation Template
This 9 page PDF is designed to assist medical SLPs who work in SNFs/acute rehab/acute care/outpatient care with their progress notes/discharge summaries.
Auditors recognize when providers over-use the “build” feature to document and bill. This document was designed with the Patient Driven Payment Model (PDPM) in mind so that your clinical documentation is detailed, succinct, and skilled for reimbursement.
Key Words, skilled phrases, and sentence templates to use in weekly progress note for:
AAC
Aphasia
Cognitive-communication
Dysphagia
Motor Speech/Voice
Each category contains examples of how to document the following areas:
Evidence-based treatment strategies
Progress/analysis
Pt/caregiver education
Collaboration
Therapy necessity
Clinical Impressions
Prognosis
**Note each patient is different and presents with unique traits, strengths, and weaknesses. Please use this as a supplemental tool for your notes and adjust to meet your patient’s needs.
This 9 page PDF is designed to assist medical SLPs who work in SNFs/acute rehab/acute care/outpatient care with their progress notes/discharge summaries.
Auditors recognize when providers over-use the “build” feature to document and bill. This document was designed with the Patient Driven Payment Model (PDPM) in mind so that your clinical documentation is detailed, succinct, and skilled for reimbursement.
Key Words, skilled phrases, and sentence templates to use in weekly progress note for:
AAC
Aphasia
Cognitive-communication
Dysphagia
Motor Speech/Voice
Each category contains examples of how to document the following areas:
Evidence-based treatment strategies
Progress/analysis
Pt/caregiver education
Collaboration
Therapy necessity
Clinical Impressions
Prognosis
**Note each patient is different and presents with unique traits, strengths, and weaknesses. Please use this as a supplemental tool for your notes and adjust to meet your patient’s needs.
This 9 page PDF is designed to assist medical SLPs who work in SNFs/acute rehab/acute care/outpatient care with their progress notes/discharge summaries.
Auditors recognize when providers over-use the “build” feature to document and bill. This document was designed with the Patient Driven Payment Model (PDPM) in mind so that your clinical documentation is detailed, succinct, and skilled for reimbursement.
Key Words, skilled phrases, and sentence templates to use in weekly progress note for:
AAC
Aphasia
Cognitive-communication
Dysphagia
Motor Speech/Voice
Each category contains examples of how to document the following areas:
Evidence-based treatment strategies
Progress/analysis
Pt/caregiver education
Collaboration
Therapy necessity
Clinical Impressions
Prognosis
**Note each patient is different and presents with unique traits, strengths, and weaknesses. Please use this as a supplemental tool for your notes and adjust to meet your patient’s needs.