Got Documentation?

The Chiropractic Documentation Website

"People Learn More When They Are Laughing Than When They Are Asleep."  Confucious (or not)

Documenting SOAP Notes

SOAP Note Documentation

The problem with most of the computerized SOAP note programs that are out there is that there are 2 sets of faulty assumptions:

Faulty Assumption #1:
  The programmers assume that  
                                    chiropractors know how to
                                    document properly.

Faulty Assumption #2:  Chiropractors assume that the
                                    programmers know how we're
                                    supposed to document.

After evaluating countless electronic SOAP note programs on the market and being quite underwhelmed, I was approached by a software company in Florida that has been producing and selling software for chiropractors for the last 25 years.  They asked if I wanted to customize a SOAP note program they had and put my own twist on it.  After more than a year and a half of working on it, I gave it a run - and even I was amazed at what I was able to do!

I call it "Got Documentation SOAP Note Program."  When designing it, it looked through 3 different lenses:

1.  I've been in practice since 1987 and I've talked with a ton
     of chiropractors all over the country.  I have a good feel
     for the way most of us flow in our offices.

2.  I teach documentation seminars and have a thorough
     understanding of the various documentation
     requirements and nuances.

3.  I review records and perform IMEs for insurance
     companies for PI and WC cases.  I know what
     they're looking for and I understand their perspective.

To see more about the Got Documentation SOAP Note Program, please click HERE.

Here are some demonstration/training videos you can watch:


Regular Patient Videos

Vid
eo 1:    Adding a New Patient - click Here.  
Video 3:    Documenting Review of Systems - click Here. 
Video 4:    Documenting Outcome Questionnaire Scores- click HERE. 
Video 5:    Documenting the E/M Exam - click HERE. 
Video 6:    Documenting the P.A.R.T. Exam on Daily Visits - click HERE.  
Video 7:    Documenting Assessments and Diagnoses - click HERE.  
Video 8:    Documenting Treatment Performed on Daily Visits - click HERE.  
Video 9:    Documenting Treatment Plan and Goals - click HERE. 
Video 10:  Documenting Subsequent Visits - click HERE. 
Video 11:  Documenting Re-Exams - click HERE.  

Personal Injury Videos


Video 1:  Documenting 1st Visit Subjective Complaints - click HERE.
Video 2:
  Documenting CRMA - click HERE.
Video 3:  Documenting Causation - click HERE.
Video 4:  Documenting the Croft Guidelines for the Tx of CAD Injuries - click HERE.

Workers Comp, Slip and Fall and Maintenance Video

Video 1:  Documenting the First Visit - click HERE.





Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Email Newsletter
For Email Marketing you can trust