Patient ID
Full legal name, date of birth, medical record number, and primary contact information to ensure correct patient matching and billing accuracy.
A formal plan organizes clinical goals, clarifies payer medical necessity, and documents progress for audits and care coordination. It reduces ambiguity between providers and supports patient-centered decision making.
Typical preparers include treating clinicians, rehabilitation therapists, case managers, and authorized administrative staff within a care team.
Patients and authorized caregivers should receive a copy and understand their responsibilities, scheduled visits, and how progress will be measured.
Full legal name, date of birth, medical record number, and primary contact information to ensure correct patient matching and billing accuracy.
Brief problem list and relevant medical history that explains functional deficits and frames the rehabilitation objectives and contraindications.
Baseline functional measures, standardized scores, pain ratings, and therapist observations used to set measurable and time-bound goals.
Specific modalities, frequency, session length, responsible clinicians, and start/anticipated end dates to establish scope and expectations.
Short- and long-term measurable goals with objective success criteria, target dates, and planned reassessment intervals.
Insurance details, prior authorizations, consent status, signature blocks, and documentation of patient or proxy agreement.
| Field | Configuration |
|---|---|
| Patient Lookup | Auto-fill from EHR via integration |
| Conditional Goals | Show goal fields based on diagnosis |
| Authorization Field | Require PA number before approval |
| Signature Order | Control signer sequence for clinicians |
Use a platform that supports HIPAA controls, audit trails, and integrations with clinical systems for secure eSubmission.
Where possible, enable automatic export to the EHR, archive signed copies with an audit trail, and retain access controls consistent with HIPAA.
Document at or before first billed session.
Stop services when prior authorization ends.
Reassess per payer interval or every 30–90 days.
Submit claims per payer timelines to avoid late denials.
Complete at discharge to close the episode of care.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
Clinic implemented e-signed plans for patient pathways
Company standardized templates and audit trails