| Activity Prescription Form to Treat Injured Workers |  | |
What are the documentation and recordkeeping requirements?
What kind of documentation do I need to do?
- SOAPER notes and reports are required as usual, even when the insurer requests an APF.
- Chart notes in SOAPER format include:
- S - Worker's subjective complaints.
- O - Doctor's objective findings.
- A - Doctor's assessment.
- P - Plan.
- E - Employment.
- R - Restrictions.
- If there are multiple claims for a worker, put all claim numbers on the:
- APFs
- Bills,
- Chart notes and
- Reports.
- Send the completed APF to the insurer.
Give a copy of the APF to the worker, so they can show it to their employer.
For more information on chart note and report requirements, see pages 24-25 of the Attending Doctors' Handbook (F252-004-000).
What are the recordkeeping requirements?
Keep APFs, chart notes, reports and other information in your files for a minimum of 5 years for audit purposes.
For questions about the APF, call Provider Hotline 1-800-848-0811.
