EMR

0 seconds Documentation

00:00

The Fastest EMR in Outpatient Rehab

Evaluation:

You don’t type anything. Systems 4PT analyzes evidence from the patient portal and recommends the following 175 – 200 words.

  • Patient Concerns & Goals
  • Pain at Onset, at Worst, at Best
  • Aggravating & Relieving Factors
  • Prior Level of Function
  • Medical History
  • Current Medications
  • Outcome Test Name & Disability Index Score
  • Defensible Functional Deficits

8 seconds Documentation

00:08

The therapist adds their clinical judgement and Systems 4PT recommends:

  • G-codes, Severity Modifiers, Rationale, and Defense
  • Functional Goals
  • Necessity for Skilled Therapy

28 seconds Documentation

00:28

Systems 4PT archives the therapist’s treatment plans for common diagnoses.

  • The therapist reviews the library of their personal treatment plans
  • They select a plan from the library
  • 20 to 40 rows of exercises, treatments, and modalities auto-load into the treatment plan
  • Including clean CPT codes, that are paid on first submission
  • Including unit charges that maximize legitimate charge capture based on billable minutes
  • Exactly what the therapist would have typed by hand with every other EMR

2 min. 28 sec. Documentation

02:28

The therapist adds their clinical rationale and customizes the treatment plan for the patient.

  • Systems 4PT creates the following recommended documentation:
  • Functional Goals
  • Necessity for Skilled Therapy
  • Clinical and Functional Rationale for Each Exercise, Treatment, and Modality in the Treatment Plan

Artificial Intelligence data-mines the evaluation and identifies complexities that potentially impact the plan of care. Artificial Intelligence:

  • Categorizes Each Topic in the Appropriate CMS Category
  • Scores Each Category Per CMS Rules
  • Recommends the Defensible Eval Code

2 min. 48 sec. Documentation

02:48

The therapist adds their clinical judgment.

  • Artificial Intelligence automates the 150 – 200 words of defensive documentation that is required by all payers
  • Soon you’ll be subject to reimbursement take backs if you don’t have this defensive documentation

3 min. 30 sec. Documentation

03:30

The therapist finalizes the Assessment

  • Systems 4PT recommends clinical/functional limitations, prognosis, patient comprehension, and motivation

 The Tasks Listed Above Are Documented In Fewer Than Four Minutes

7-10 min. Documentation

07:00

During the processes listed above, the therapist enters objective findings and special test data, in real time and at point of care

See for Yourself With a Hands-On Demonstration

True Point-of-Care Documentation

Daily Note:

Systems 4PT copies forward the functional status of the patient’s greatest concern.

  • The therapist edits progress of this functional status
  • The therapist edits progress of functional goals
  • The therapist notes the anticipated changes to the treatment plan, which were recommended during the last visit
  • The treatment plan copies forward from the last date of service
    • Including clean CPT codes, that are paid on first submission
    • Including unit charges that maximize legitimate charge capture, based on billable minutes
  • Phase II and Phase III treatments are included in the plan and can be quickly added into today’s treatment

30 Sec. Documentation

00:30

The therapist adds their clinical judgment and updates the treatment plan

  • The therapist defends the rationale behind each change in today’s treatment plan

1 min. 30 sec. Documentation

01:30

The therapist documents the patient’s reaction to treatment and intended changes to the next treatment session

2 min.  Documentation

02:00

When the patient’s daily visit is complete, the therapist’s note is signed

  • And when the last patient leaves, the therapist does not stay late to catch up on notes

In 2015, Systems 4PT Analyzed the Impact of Point-of-Care Documentation on Patient Outcomes

We segregated therapists into “documentation approaches” (those who complete the note at point-of-care, vs. those who document a little at point-of-care, vs. those who document after the patient has left the facility). We then measured patient progression for each group.  The findings: Therapists who signed their notes at point-of-care had exactly the same level of patient outcomes as therapists who did not document at point-of-care and stayed late to catch up.  Link to blog

With Systems 4PT you can deliver the highest patient outcomes while documenting at point-of-care. And then, you can go home on time.

True Point-of-Care Documentation

Re-Eval, Progress Note:

8 sec.  Documentation

00:08

Systems 4PT analyzes evidence from the patient portal and recommends the following 175 – 250 words. You don’t type anything.

  • Progression of patient’s greatest concern during the re-eval, vs. at the time of the evaluation
  • Pain at worst during the re-eval, vs. at the time of the evaluation
  • Progression of pain at best during the re-eval, vs. at the time of the evaluation
  • Progression of the patient’s disability index during the re-eval vs. at the time of the evaluation
  • Progression of the reported functional deficit during the re-eval vs. at the time of the evaluation
  • Updated G-codes, severity modifiers, rationale, and defense
  • Objective findings from the re-eval visit vs. the initial evaluation
  • Progression of functional goals
  • The plan of care from the initial eval, which the re-eval will request to extend

1 min. 38 sec.  Documentation

01:38

The therapist documents their rationale for continued treatment and E*faxes the re-eval to the referring Dr.

Fast, yes.  But is it compliant?

While success in an audit relies on the quality of the therapist’s clinical judgment along with the proper use of the EMR, Systems 4PT is pleased that in each of our practices’ Medicare audits in the last 12 months, the EMR was complimented.

The most challenging audit we’re aware of involved CMS reviewing 14 episodes of care that were treated and paid beyond the Medicare threshold of $3,700.  Without clear identification and measurement of functional deficits, precise definition of medical necessity, quantified, unambiguous progression of the identified functional deficits and solid rationale for continued treatment, CMS would be justified in demanding takebacks from the practice.

The results: No takebacks.  Just compliments.

What Is a Hands-On Trial?

We understand that every EMR review claims to have the fastest documentation, the best compliance and the highest reimbursements.  And we agree, these statements are somewhere between comical and insulting.

There is a simple way to cut through the false claims: Document an eval and some notes on your own computer. And bring a stopwatch!

A hands-on trial is the best way to grasp Systems 4PT’s intuitive work flow and industry-leading efficiency. Literally, the first time you use our EMR, the notes you document will be faster and more compliant than how you work today.

You’ve found the solution you’ve been dreaming of.

Prove It to Yourself

A friendly reminder: You’re not only searching for EMR that solves today’s problems, you also need technology that protects your practice from tomorrow’s challenges.

In a few months, payers will reimburse more for the new higher-complexity eval codes. Payers will require therapists to defend the dozens of individual factors that impacted their complexity determination (150–200 words of additional defensive documentation). The CMS has openly stated that they are concerned about up-coding. If the defense doesn’t exist, they can take back every penny.

This eval code defense, combined with G-code documentation and defense, is 200–300 words. Worst of all, none of it makes the patient feel any better.

Looking ahead, we are racing toward MIPS and MACRA, which have been described as “PQRS on Steroids.”  Get ready for yet another 200 words of required defensive documentation.

Soon we will be paid for progression.  And only one thing yields patient progression: Your hands-on treatment.  But how can the patient progress if you’re spending more and more time typing and less time providing hands-on treatment?

Systems 4PT has solved these problems.

We are the only EMR that leverages Artificial Intelligence. We have applied the same powerful technology that can drive a car to an evaluation. In some cases our technology considers over 1 trillion data permutations before recommending the most defensible solution.

The therapists lead the process with their own clinical judgment.  After this 35 second process, the 400–500 words of required defensive documentation outlined above, (G-codes, eval codes, MIPS, MACRA and the associated defensive documentation) are recommended in the blink of an eye.  And the degree of thorough specificity contained in this defense is significantly beyond what any therapist has time to research and document.

Systems 4PT’s value proposition is laser-focused on what matters most: The patient.

Treat More, Type Less