Therapy
What do I document on the Travel Card for therapy, and when do I stop and get the doctor?
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Summary
The Travel Card travels with the patient and starts the closing procedure. Services must match the Physical Medicine Orders before anything is posted, and any mismatch stops the process.
- 1Therapeutic exercise is a set of repetitive stretching or strengthening maneuvers to develop weakened or injured muscle groups that support the spine. Script: “Repetitive maneuvers to stretch or strengthen weakened muscles.”
- 2Therapeutic exercise is timed: minimum 8 minutes, maximum 15 minutes, and is not typically performed on the same visit as ultrasound and massage.
- 3The Travel Card travels with the patient throughout each office visit and is the starting point of the closing procedure.
- 4The completely documented Travel Card is presented to the front desk CA when the patient schedules the next appointment.
- 5Confirm all services provided and have the patient sign the Travel Card verifying receipt, or confirm the patient and Doctor have signed and dated it.
- 6The services provided must match the Physical Medicine Orders before you post anything.
- 7Immediately post services and charges to the Gold Card, Medisoft, and the Appointment Book, in that order — never hold a stack of Travel Cards to enter later.
- 8Never provide a therapy that is not prescribed on the Travel Card, and never change the manner (location, time) in which an ordered therapy is provided.
- 9If documented services do not match the Physical Medicine Orders, stop and resolve the discrepancy before posting or continuing.
- 10If a genuine operational or safety issue prevents completing an ordered therapy, pause and escalate to the Doctor or manager rather than changing or omitting the order.
Citation
CA Manual, Therapeutic Exercise; Closing Procedures/Travel Card, p. Therapy · Revised 2/9/26Answers source the CA Manual first; the Medisoft guide is used only where the CA Manual does not cover the task.