Respiratory Therapy / Nursing Documentation Suite

If your facility is providing respiratory therapy services, or looking to launch a program, your documentation is everything. It protects your reimbursement, justifies your skilled services, and is your first line of defense when auditors come knocking.

The Complete Respiratory Therapy Documentation Suite by Therapy Insight Solutions gives Skilled Nursing and Long-Term Care facilities a fully structured, clinician-built documentation system that covers every stage of the RT treatment journey — from the first evaluation through discharge.

What's included in this suite:

RT / Nursing Evaluation — A comprehensive 22-section, 11-page fillable assessment capturing diagnoses, breath sounds, spirometry, dyspnea grading, functional deficits, plan of care, and physician certification. Built to establish medical necessity and skilled justification from day one.

Dyspnea Evaluation — A focused, rapid one-page assessment for quick, accurate point-of-care dyspnea documentation.

Extended RT Goal Bank — A comprehensive library of evidence-based respiratory therapy goals that keep your documentation specific, individualized, and defensible — saving your team significant time at every visit.

Progress Notes Package — A full suite of daily encounter notes, weekly progress summaries, and discharge summary templates that guide your team through consistent, compliant documentation at every stage of treatment.

Together, these tools are designed to:

✅ Support Medicare and Medicaid audit readiness by capturing the medical necessity, clinical complexity, and skilled justification auditors look for

✅ Reduce the risk of claim denials, recoupments, and compliance vulnerabilities

✅ Guide individualized, outcome-focused care from start of care through discharge

✅ Keep your clinical team organized, consistent, and confident at every stage of treatment

All four products are also available for individual purchase. However, the Complete Documentation Suite is our best value — saving you $78 while giving your team everything they need in one place.

📌 Licensed for use by one facility only. Not for redistribution. See full Terms & Conditions upon purchase.