Documentation Essentials Part 04: Daily Notes & Progress Notes


Intermediate Level: This course will introduce the required documentation components for daily notes and therapy progress notes. Included are the requirements set by Medicare B, as well as important tips on how to improve documentation to capture medical necessity and skills of the therapist.

Course Goal and Learning Objectives

To provide the information therapists need to write appropriate daily notes, and progress notes for Medicare B beneficiaries receiving therapy services.

Upon completion of this course, the learner will be able to:

  • Identify the four (4) essential components of a daily note.
  • Identify the six (6) essential components of a progress note.
  • Identify the practitioner required to write the daily note and the progress note, according to compliance standards.
  • Identify documentation pitfalls to avoid when writing a daily note and a progress note.

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