Ted Posted Tue 13th of November, 2012 15:14:04 PM
We are currently building out our EMR content and the following questions came up about Physical Therapy tech's.
1.Can a tech data enter the patient’s history from the paper intake form for the PT to review and sign off on?
2.Can a tech document exercise flow sheets themselves in the EMR (document what they’ve done?) SOme of our therapist are under the impression that Techs are not allowed to document anything in the PT chart. Is this correct or not?
SuperCoder Answered Wed 14th of November, 2012 06:13:38 AM
We are working on this. I have forwarded this to our editors.
SuperCoder Answered Thu 15th of November, 2012 17:45:36 PM
There is no one answer as it state practice act specific and discipline specific in every state. The therapist would need to read their respective state practice act to see if they can use support personnel, if so, what can they do, and can they document in the medical record.
"There’s no one answer – the rules vary from state to state, each state licensing board makes the rules. "
It depends upon state law. In New York State techs have equivalent responsibilities as that of a medical assistant. So they are allowed to document certain things such as information from an intake form. They cannot document SOAP notes or observations. (This is to remain compliant with privacy laws.)