Physical and occupational therapy
The plan of care (certified by the physician, recertified every 90 days, progress reports every 10 visits) and each visit's therapy minutes, billed by the 8-minute rule with GP or GO, CQ or CO for assistants, and KX past Medicare's yearly threshold.
Outcome scores
Patient-reported outcome scores (KOOS JR, HOOS JR, Oswestry, Neck Disability Index, QuickDASH, PROMIS, pain) entered from the official forms and followed from the baseline, for joint replacement and spine care.
Workers' comp
Work injury cases (employer, claims administrator, claim number, adjuster, attorney, WCAB case), visits billed to the case, the Doctor's First Report and PR-2 progress reports with work status, treatment requests and utilization review, and liens for unpaid bills, with what's due on each case.
Insurance eligibility checks
Checking coverage, copays and deductibles with the payer before visits, by hand and every night.
Claims and denials
Insurance claims, the clearinghouse, denials and appeals, and the billing reports.
Referral tracking
Every referral to the practice tracked until the patient is seen, tries to reach them, patients sent elsewhere, and who refers the most.