While safety and quality of care is what is most important when providing services, documentation throughout the episode of care is a professional responsibility, a legal requirement, and the most important factor to successful payment of a claim. This guidance page can help you understand the factors that need to be considered when documenting services that involve the use of mobility devices.
APTA Guidance: Mobility Device Clinical Documentation
As with other documentation of PT services, you must show the need for the care you provide and equipment you recommend.
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