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Each documentation template in StrataEMR includes a set of settings that control how documents behave when clinicians use them. These settings determine what type of note the document produces, what happens automatically when it’s completed, who can access it, and how it connects to billing and scheduling. To reach template settings, go to Setup in the blue Menu Bar, then select Templates Library from the left-side menu. Locate the template you want to view and click the pencil icon to open it.
Access: Editing template settings requires Therapy Director-level access or higher. Clinicians with Clinical Staff permissions can use templates but cannot modify their settings. Contact your StrataPT Customer Success Manager if you need to change a template configuration.

Document Family

Document Family groups related templates together within the Templates Library. StrataEMR uses this grouping to organize templates and control which are available in a given clinical context. Common families include Physical Therapy Templates, Occupational Therapy Templates, and Patient Engagement Forms. This field is set during your account build. Fragments must also be assigned to the correct Document Family to inherit properly into templates within that family.

Template Name

Template Name is the display name clinicians see when selecting a document from the patient chart. Names should clearly identify the note type and any relevant context — for example, “Initial Evaluation (Cervical)” or “Daily Note (PT).”

Include Time In / Time Out

When set to Yes, StrataEMR adds Time In and Time Out fields to the top of the document. Clinicians record the start and end time of the treatment session. Enable this for templates where timed services are being billed, such as therapeutic exercise or manual therapy. Some payers — including certain Medicaid plans — require time documentation on all note types. Practices that treat workers’ compensation patients often enable this across all templates for consistency.

Template Type

Form dropdown for Template Type showing the options listed below in this section
The Template Type field determines how a document behaves when it is used - what UI elements appear, what billing logic Mako runs, and what case data gets updated on completion. It is set when creating or editing a template, and is locked once a document is started from that template.
Template Type affects billing compliance. Assigning the wrong type can cause documents to be missing required certification language or physician signature fields, which may result in claim denials. Confirm the type with your StrataPT contact if you’re unsure.

Daily Note / General Document

(no certification or physician signature) The default type for treatment notes. No certification block appears. The document submits charges to billing when completed and applies standard billing validations (treatment minutes, 8-minute rule, plan of care date check). Does not update any case dates.

Initial Evaluation

(includes certification and physician signature) Displays the Certification of Medical Necessity panel with the physician signature block. On completion:
  • Updates Initial Evaluation Date in the case to the document date
  • Updates Plan of Care Certification Start to the document date
  • Updates Plan of Care Certification Expires based on the certification period entered in the document

Initial Evaluation New Case

(includes certification and physician signature) Identical to Initial Evaluation in every respect. The distinction is organizational - intended for cases that represent a brand-new episode of care rather than a continuing one. Same certification panel, same case date updates, same billing behavior.

Progress Report

(with certification and physician signature) Displays the Certification of Medical Necessity panel. On completion:
  • Updates Plan of Care Certification Expires based on the certification period in the document
  • Does not update Initial Evaluation Date or Certification Start
Used when the progress report doubles as a plan of care recertification and requires physician sign-off. Exempt from the “signed plan of care required” check. Payers with the 10-visit progress note requirement will evaluate this document against that requirement.

Progress Report

(no certification or physician signature) No certification panel. Submits charges to billing and applies standard billing validations. Does not update any case dates. Used for interim progress notes that are purely clinical documentation with no recertification component. Payers with the 10-visit progress note requirement will still evaluate this document.

Re-Evaluation

(includes certification and physician signature) Displays the Certification of Medical Necessity panel. On completion:
  • Updates InitialEvaluationDate to the document date
  • Updates CertificationStart to the document date
  • Updates CertificationExpires based on the certification period entered in the document
Re-Evaluations indicate a meaningful change in diagnosis and function similarly to an Initial Evaluation in establishing a new sequence of care. Updating the evaluation date reflects this reset. Some payers require a minimum number of days between re-evaluations (or between an initial evaluation and first re-evaluation). Mako will enforce these minimums during document completion and will block submission if the minimum has not been met.

Discharge Summary

(no certification or physician signature) No certification panel. When paired with a discharge document action (set separately), completing this document can trigger the patient’s case to be marked as discharged. If the organization has the discharge-outside-plan-of-care setting enabled, this type is exempt from the certification period expiry enforcement that blocks other document types from being completed after the plan expires.

Non-Clinical Document

(Sign-In Sheet, Missed Visit, Correspondence) No certification panel. Treatment minutes validation and the CMS 8-minute rule are bypassed entirely. Intended for administrative documents that are not clinical encounters - sign-in sheets, missed visit records, correspondence letters. These documents do not generate billable charges and are not subject to billing validations.

RTM Setup and Engagement

No certification panel. Exempt from the standard plan of care billing check. When saved as a draft, the system creates a billing reminder task specifically for RTM setup and engagement charges. Billing plan of care visit-count logic is excluded for RTM documents. Used for Remote Therapeutic Monitoring enrollment and initial engagement documentation.

RTM Monthly Monitoring

Identical behavior to RTM Setup and Engagement. The billing task created on draft save is specific to monthly monitoring charges rather than setup charges.

Include Charge Advice

When set to Yes, StrataEMR displays CPT code recommendations inside the document as the clinician works. Charge Advice surfaces suggested billing codes and units based on documented services. Most practices set this to Yes to support accurate charge capture at the point of documentation. Set it to No for non-billable document types, such as non-clinical notes or administrative forms.

Document Action(s)

Document Actions define what StrataEMR does automatically when a clinician completes the document. Every action clears charge-related tasks for the patient on that document date and marks the corresponding schedule visit as “Completed.” Mark daily documentation task as completed — Completes the document and marks the visit as done. No additional tasks are created. Use this for standard daily notes where no follow-up action is needed. Create task to fax this document to referring physician — Completes the document and creates a “Faxing Required” task that expires 20 days from the completion date. Front desk or admin staff work this task when the fax hasn’t been sent yet. Once the document is faxed, the Faxing Required task automatically resolves and a “Pending Signature” task is created to track the physician’s signed return. Use this when you want faxing handled by admin staff rather than the treating clinician. Redirect to document faxing upon completion — Completes the document and immediately opens the fax page so the clinician can send the fax at that moment. No task is created. Use this when you want the clinician to handle faxing directly rather than delegating to front desk. Update patient status to inactive (discharged) — Completes the document, changes the patient’s status to “Inactive / Discharged,” saves the discharge date, and deletes all future appointments for that patient.
The discharge action is irreversible at the time of document completion. All future appointments are deleted automatically when the document is completed. Only assign this action to Discharge Summary templates.

Signature Mode

Signature Mode controls whose signature is captured when the document is completed. The default setting, Staff, captures the signature of the clinician who is logged in and completing the note. For practices using a PTA or COTA cosign workflow, this setting works alongside the “Prevent Document (with Billable Charges) Completion” staff permission. When that permission is enabled for an assistant, their notes save as drafts and generate a review task for the supervising therapist, who must co-sign to complete and bill the document.
Signature Mode options beyond “Staff” may be available depending on your account configuration. If you need a different signature workflow — such as requiring a PT signature on all evaluation templates — contact your StrataPT Customer Success Manager.

Case Type Required

When a value is selected, this template is restricted to patients with an active case of that type — for example, “Physical Therapy.” Clinicians cannot use this template on patients with a different case type. Leave this field blank if the template should be available regardless of case type. Setting Case Type Required on PT templates prevents them from appearing in OT or Speech cases, reducing the risk of cross-discipline documentation errors.

Staff Type Required

Staff Type Required controls which staff role must be the one to sign and complete the document. This is a safeguard to prevent regulated documents from being inadvertently completed by an unauthorized staff member — for example, preventing assistants from completing initial evaluation templates. Leave this field blank if any staff type should be able to complete the template.

Require Documentation Upload

When enabled, StrataEMR requires the clinician to attach an external document before the note can be completed. This setting is typically used on billing-only document templates, where a PDF from a prior EMR system must accompany the claim to prevent denials. Leave this field blank for standard clinical documentation templates where no external upload is required.