Maryland PT Jurisprudence cheat sheet
Maryland PT Jurisprudence · Keep the key ideas within reach.
Documentation, Reporting, and Regulatory Compliance
Documentation must be timely, accurate, legible, and sufficient to identify the patient, the services provided, the dates, and the provider.
The initial evaluation documents examination findings, the physical therapy diagnosis, the plan of care, goals, and expected frequency and duration.
Progress notes must reflect the patient's response to intervention and any change in the plan of care; the PT is responsible for periodic re-evaluation.
Records must be retained for the period required by Maryland law and Board regulation; retention applies to both paper and electronic records.
Corrections to records must be made by dated addendum or strike-through with initials, never by obliterating or backdating entries.
Billing and coding must be supported by documentation; submitting claims for services not rendered or not documented is fraud.
Licensees must cooperate with Board investigations, respond to requests for records, and produce documents as required by subpoena.
Reportable events include suspected abuse, unlicensed practice, and impairment of a colleague; failure to report may itself be a violation.