Question
On a discharge summary, may the Physical Therapy Assistant who has been treating the patient participate in writing the report or does the Physical Therapist need to do this themselves?
Answer
Yes, the first four elements can be performed by the Physical Therapy Assistant. This includes demographics, testing, standard tests and measurements, standardized tests, and all of those types of things. What happens after those first four bullets is that we get into the assessment. That is where the clinician must then take over the progress report. And, on that discharge summary you would have "assisted by" listed as well.

Pre-Emptive Coding & Billing; How to Demonstrate Skillful Decision-Making [Video Course]
