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How to fill out the ASHA VFSS Template online
Filling out the ASHA VFSS Template online can streamline the documentation process for videofluoroscopic swallowing exams. This guide provides comprehensive instructions to help users complete the form accurately and efficiently.
Follow the steps to fill out the ASHA VFSS Template online
- Press the ‘Get Form’ button to access the ASHA VFSS Template and open it in your preferred editor.
- Fill in the basic information by entering the name, ID or medical record number, date of exam, who referred the exam, and the reason for referral.
- Provide relevant medical diagnoses and the onset date, along with any additional medical history, surgeries, medications, and allergies.
- Document pain levels and specify the primary languages spoken by the individual, along with their educational background and occupation.
- Indicate the hearing and vision status, noting if the person uses a tracheostomy or is on mechanical ventilation.
- In the subjective/patient report section, check all reported symptoms and detail the current diet, including any diet modifications or special nutritional methods.
- Complete the observations and informal assessments, checking all applicable mental status indicators and positioning during the study.
- For food and liquid trials, specify the type of liquids and solids tested, along with the administration method and any notes on swallowing initiation, penetration, and aspiration.
- Describe residue notes for both liquid and solid trials, and provide observations for the esophageal phase, noting backflow and any significant findings.
- Evaluate the prognosis, detailing impact on functioning and any applicable swallowing treatment recommendations.
- Outline safety precautions and swallowing strategies, as well as other recommended referrals.
- Finally, clarify patient and caregiver education points captured during the evaluation and outline the treatment plan with long-term and short-term goals.
- Once all sections are complete, save your changes, download the completed form, print if necessary, or share it with relevant parties.
Start filling out the ASHA VFSS Template online today for effective documentation of swallowing assessments.
CPT code 92611 is used for the evaluation of swallowing function through VFSS, while code 74230 is associated with radiologic examination of the pharynx and esophagus. Both codes play significant roles in diagnosing and treating swallowing disorders. Utilizing the ASHA VFSS Template can streamline the documentation process, making it easier for healthcare professionals to manage these complex evaluations.
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