Nutritional care providers are required to complete detailed charting records for every client session. Specific charting notes are helpful to document a detailed care plan, evaluate care goals and outcomes, share notes with other providers, transfer records in the future, maintain client records in case of an insurance claim audit, and more.
Did you know that charts are confidential legal documents? Thorough documentation of an encounter with a client is often required for insurance reimbursement claims and physician referrals – plus quality control management. This can include documentation of client history, short- and long-term goals, and specific diagnosis codes.
For busy providers, writing notes from scratch can be time-consuming, inefficient, and require substantial typing during and after each client session. There’s a more efficient way.
Customizable Charting Templates
Healthie’s customizable charting templates are designed specifically for dietitians, nutritionists, and other healthcare professionals. Because these charting templates are customizable, they meet each practitioner’s specific workflow needs. Healthie’s built-in templates include ADIME, SOAP notes, free-text, and intake forms.
Charting templates can also be specialty-specific – including general wellness, eating disorders, diabetes management, functional nutrition, and more. Plus, Healthie’s charting templates are effective across all practice sizes.
Healthie is also introducing the ability for practices to share their customizable charting templates with other providers. Through a joint library, providers will be able to leverage best practices and reduce the time spent “recreating the wheel.”
Charting templates significantly reduce time spent charting during and after a client session, and increase the flow of information between providers.
Note: There may be specific nuances required for a particular insurance company, ICD-10, insurance company, state regulation, and more.
To learn more about Healthie’s charting templates and how to customize them to your practice, book a one-on-one session with a Healthie specialist: