Be thorough and try to think like a payer.

Few if any health care providers enjoy the documentation process. It's necessary, however, if you want to be paid for provided services and meet your professional obligations. Proper documentation also is essential to minimize payer denials.

Many physical therapists (PTs) and physical therapist assistants (PTAs) struggle with documentation. Writing patient notes take time, and it can seem as if today's fast-paced health care environment prizes productivity over value. This may change as payment gradually moves away from fee-for-service (volume) to a payment system that improves quality and reduces costs (value). Despite the effort it requires, most providers recognize that precise documentation is a critical component of providing quality patient and client services.