Job Description
An InBody scan is a quick, non-invasive, and highly accurate (comparable to DEXA) body composition analysis that measures weight, muscle mass, body fat percentage, and visceral fat in under a minute. It uses bioelectrical impedance analysis (BIA) to deliver detailed, actionable insights into body composition across different body segments.
Standard Operating Procedure: InBody Assessment Review & Documentation for the Medical Assistant.
Purpose: To ensure systematic communication, immediate clinical review, and precise documentation of InBody assessment results to address chronic pain, deconditioning, and fall risk.
1. Post-Assessment Immediate Action
- Direct Delivery: Immediately after the InBody assessment is completed, the InBody MA must take the physical results directly to the Medical Provider for review with the patient during the current visit. The Medical Provider will refer to the Registered Dietitian or the Physical Reconditioning Provider (Chiropractic Doctor) for treatment plan.
2. Handling Out-of-Sync Visits
- Delayed Review: If the patient has already seen the Medical Provider prior to the assessment, the InBody MA will:
- Scan the InBody results into the patient’s electronic health record (EHR).
- Document in the Care Note that the results are pending review and must be addressed at the next visit by the Medical Provider. Documentation in the Care Note should be as follows: InBody assessment completed (date), Medical provider will review at next visit.
- 3. Medical Provider Review & Referral
- Provider Action: The Medical Provider reviews the assessment (body composition, muscle mass distribution, and functional contributors) and integrates findings with fall-risk testing.
- Referrals: The Provider will refer the patient to the Registered Dietitian and/or Physical Reconditioning department to address deconditioning and strength.
- 4. Documentation Requirements (MA Responsibility)
- The MA will document the findings using the following mandatory snippet for CPT Code 97750 x 1 unit:
- Medical Necessity for InBody Assessment– Care Plan Snippet:
Patient has chronic pain with documented chronic opioid therapy, neuropathy, and/or obesity which effects strength and balance that puts the patient at a greater risk for falls. A whole-body InBody assessment was performed and reviewed with the patient to evaluate body composition, muscle mass distribution, and functional contributors to deconditioning. Findings were integrated with strength and fall-risk testing to guide the care plan.
The outlined care plan is medically necessary to:
Reduce fall risk and prevent injury
Improve functional capacity and safety
Optimize pain management while minimizing medication-related adverse effects
Based on these findings, the patient was recommended to schedule follow-up with our Registered Dietitian and/or the Physical Reconditioning department to address deconditioning, improve strength and endurance, and reduce fall risk within a transdisciplinary pain management model. The patient will be scheduled for a repeat InBody assessment in 3 months to assess improvement.
5. Scheduling & Tracking
- The MA must ensure that the repeat InBody assessment (scheduled for 3 months out) is documented in both the Care Plan and the Care Note to ensure continuity of care.
Conditions: The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Similarly, the work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: While performing the duties of this job, the employee is regularly required to sit, use hands to manipulate equipment, and to talk and hear. The employee is required to stand, walk, reach with hands and arms, and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
Work Environment: The noise level in the work environment is high to moderate.
Disclaimer: The above statements reflect the general details considered necessary to decide the principal functions of the job identified and shall not be construed as a detailed description of all work requirements that may be inherent in the job. Job incumbents are expected to perform other duties necessary for the effective operation of the position, facility, or the business.
The position purpose, principal accountabilities, essential functions, minimum qualifications and the requirements listed in this job description are representative only and are not exhaustive of the tasks that a Team Member may be required to perform. Lifekind Health reserves the right to revise this job description at any time, and to require Team Members to perform other tasks as circumstances or conditions of its business considerations or work environment change.
Equal Opportunity Employer: Lifekind is an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color, people with disabilities, and lesbian, gay, bisexual, and transgender people are encouraged to apply. We consider all applicants without regard to race, color, ancestry, religion, gender, gender identity, gender expression, national origin, age, disability, socio-economic status, marital or veteran status, pregnancy status or sexual orientation.