Document Skeletons are part of Better Day Health's encounter documentation automation system. It is designed to do the busy work for you, while allowing you to focus on the most important details and information of each encounter.
A Document Skeleton is a collection of billing codes, physical exams, treatment plan orders, and more, that can be triggered to automatically generate your encounter documentation.
There are three basic categories of skeletons:
First are documentation skeletons. These skeletons contain the basic documentation that is necessary for a particular diagnosis, such as symptoms and symptom modifiers, physical exams, and so on.
Next are billing skeletons. Generally, these are used for primary CPT code and code modifiers for the encounter, but can accommodate any billable CPT code. In addition to documenting CPT codes, we have designed these billing skeletons to include a specific set of physical exams needed to qualify for the billing code. So, when any of these billing codes are added, we can be sure that the correct physical exams will come with it.
The third section contains treatment order skeletons. Here we have a variety of orders to choose from, allowing the physician to pick the best options for this encounter. Each of these treatment skeletons is also set up with a corresponding CPT code, if available. So we can be sure every time this order is added, the billing code will be documented, as well.
The system is very flexible and can be set up in a variety of ways to best fit your needs. This will enable you to automate every detail of your documentation. From there you'll only need to review, update, and finalize your encounter.
Our Implementation Team will work with you to design document skeletons to associate with some of your most-used diagnosis codes. Your clinic administrators will be trained in this area so you can continue to build your library of skeletons to use with your most commonly-used codes.
In the next lesson we show you how it works.