SOAP 2.0 | Forward/Cosign Note Workflow
  • 05 Apr 2024
  • 2 Minutes to read
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SOAP 2.0 | Forward/Cosign Note Workflow

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Article Summary

Overview

Let's review how to forward a SOAP notes in 2.0 documentation and have it finalized by a therapist. We'll also review the process for signing a forwarded note as the supervising therapist.

SOAP 1.0
Addendum Finalization

You cannot forward a note once it has been finalized by adding an addendum.

 
Click the arrow or colorblock below to discover more.



Forward SOAP Note Permission

SOAP | Forward SOAP Notes Permission

You’ll need to make sure that the user has the Forward SOAP Notes permission.

EMR_User Manager_User Profile_Profile Permissions_Forward SOAP Note



Forward a SOAP Note

How to Forward a SOAP Note

Before you forward a SOAP note, ensure that:

  • The documentation is complete (free of errors).
  • The documentation is accurate (you haven’t under or overbilled).

The system will generate an error when you try to forward a note if discrepancies are detected.
 

  1. Use the (...) menu button at the top of the note to select Forward.
    EMR_2.0_Documentation_Addendum_Forward_Button

  2. Select the supervising therapist from the drop-down, then click Apply. Notes can only be forwarded to a provider user type (PT, OT, SLP).
    EMR_2.0_Documentation_Addendum_Forward_Choose Therapist



Sign a Forwarded SOAP Note

SOAP 2.0 | How to Sign a Forwarded SOAP Note

Notes requiring a co-signature appear in the therapist's At a Glance view under the Incomplete Cosign Docs section.

Cosign Workflow Error

Follow the steps below to access the cosign document. Opening the note using any other method will result in a single signature on the document, not a co-signature. If the therapist opens the note incorrectly, save it as a draft. The assistant should then open an Addendum on the draft note and forward it to the therapist again.

 

  1. Click on the Incomplete Cosign Docs alert to open a table of all pending cosign notes.
    EMR_Dashboard At a Glance_Incomplete Cosign Docs

  2. From the Incomplete Cosign Documents table, select the note needing to be co-signed.
    EMR_Incomplete Cosign Docs_SOAP 2 Example

  3. Review the SOAP note. If any changes are needed, inform the documenting therapist to make the corrections and re-forward the note.

    • MIPS Reporting: Because assistant user types are not eligible to participate in MIPS, MIPS measure fields do not appear on the note when the assistant is documenting. When the assistant forwards the note to a Supervising Therapist that is required to document MIPS, the MIPS Measure fields become available. The Supervising Therapist must complete the eligible measures or select the options indicating failure to meet the measures to finalize the note.
  4. Click Sign at the top of the note.
    EMR_2.0_Documentation_Sign Button

  5. Both the assistant and finalizing therapists’ information will appear on the finalized note.
    EMR_2.0_Documentation_Signed Note_Forwarding Therapist Included

  6. The patient’s chart will reflect the supervising therapist’s name.
    EMR_2.0_Patient Profile_Records_Signed IE_Supervising Therapist




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