How should the patients progress be documented to confirm that continued treatment is necessary?
Once treatment is initiated, it is expected that the patient’s progress will be meticulously documented in the medical record. If there is initial improvement by the second course of treatment, and continued treatment is necessary, then objective clinical assessment to monitor progress is required. Objective monitoring may use any accepted clinical method such as the MRC scale, Rankin score, ADL scores and/or objective findings of physical exam.. The documentation of the number of relapses for Multiple Sclerosis may be used. Subjective improvement alone is insufficient to continue IVIG.
