Respiratory Question for the Week of June 22, 2020

Question:

What should I include on a discharge note in regard to pulmonary rehabilitation and tobacco services?

Answer:

Evidence of instruction on a home exercise program, as needed, and any plans for further exercise or therapy should be documented:

• Reason for discharge
• Patient’s condition at discharge
• Final summary of patient’s progress toward goals as specified in the treatment plan
• If goals are not met, why?
• Physician approval of discharge with follow-up documentation on patient improvement and progress toward proposed goals for discharge, or lack thereof with referral to other services.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.