The How-To Manual for Rehab Documentation, Third Edition

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Publisher : HC Pro, Inc.
ISBN 13 : 1601463235
Total Pages : 183 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The How-To Manual for Rehab Documentation, Third Edition by : Rick Gawenda

Download or read book The How-To Manual for Rehab Documentation, Third Edition written by Rick Gawenda and published by HC Pro, Inc.. This book was released on 2009-04-06 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: The How-To Manual for Rehab Documentation, Third Edition A Complete Guide to Increasing Reimbursement and Reducing Denials Rick Gawenda, PT Up-to-speed with Medicare documentation requirements for 2009 and beyond? Increase cash flow and reduce Medicare claim denials by using strategies provided in the Third Edition of The How-To Manual for Rehab Documentation. Written by national consultant Rick Gawenda, PT. Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in therapy settings. And now that the RACs are underway it is even more important to have accurate and thorough documentation. Mistakes can lead to delayed payments and denials, so how do ensure that you are in compliance with the current guidelines? Make it easy. Order your copy of The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials. Written by author and national consultant Rick Gawenda, PT, of Gawenda Seminars, this book and CD-ROM setfocuses on the clinical aspects of documentation and offers proven methods to strengthen documentation and decrease the frequency of denials. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes. What's new in the third edition? Clarification of certification and re-certification requirements regarding how long they are valid for and how soon they need to be signed Explanation of delayed certification Tips to write function-based short- and long-term goals Updated examples of well-written goals Updated payer documentation guidelines for evaluations, progress reports, daily notes, discharge reports, and re-evaluations The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials outlines proper documentation strategies starting from the moment a patient registers and receives treatment to billing for time and services. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes. This comprehensive book and CD-ROM, helps you: Improve therapy billing through better documentation Prevent denials as a result of better documentation practices Maintain quality assurance through proper documentation Optimize your reimbursement from both Medicare and third-party payers Avoid audits and targeted medical reviews Document care in a more efficient way Take the critical steps to verify therapy benefit coverage prior to a patient's initial visit Support skilled therapy services with inclusion of required documentation Understand Medicare certification and recertification time frames and requirements for all therapy settings Understand and use the most commonly used CPT codes and modifiers in rehabilitation therapy Table of Contents: Chapter 1: The Role of the Registration Staff Registration Basics Benefit Verification Preregistering Chapter 2: Initial Documentation Evaluation Format Documentation Components Evaluation Process Objective Criteria Assessment Documentation Goals POC Documentation Creating a Solid Foundation Chapter 3: Certification and Recertification Physician Referrals Physician Referral Denials Outpatient Therapy Settings Certification and Recertification SNF Part A Therapy Services Reimbursed Under the Prospective Payment System (PPS) Home Health Agency Part A Therapy Services Chapter 4: Daily Documentation Daily Documentation Documentation Requirements Home Exercise Programs (HEPs) Plan Documentation Chapter 5: Progress Reports, Discharge Reports, and Reevaluations Progress Reports Discharges Reevaluations Chapter 6: Maintenance Therapy What is an FMP? Coverage Criteria Documentation Requirements Billing Cover All Your Bases Chapter 7: Wound Care Under Medicare Discharge Criteria Additional Pointers Appendix A: Navigating the CMS Web site Getting Started Final Word Make it easy to understand CMS' documentation guidelines No need to download and interpret the guidance from the CMS Web site yourself. Author Rick Gawenda, PT, has done the work for you. His documentation practices are sure to help you receive optimal compensation for the services you perform as a therapist. Nearly half of all rehab claim denials are STILL due to improper documentation. Ensure proper documentation for services provided and decrease the frequency of denials. Order The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials today!

The How-to Manual for Rehab Documentation

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Author :
Publisher : HC Pro, Inc.
ISBN 13 : 9781578394739
Total Pages : 246 pages
Book Rating : 4.3/5 (947 download)

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Book Synopsis The How-to Manual for Rehab Documentation by : Rick Gawenda

Download or read book The How-to Manual for Rehab Documentation written by Rick Gawenda and published by HC Pro, Inc.. This book was released on 2004 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Documentation for Rehabilitation - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323312349
Total Pages : 288 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Documentation for Rehabilitation - E-Book by : Lori Quinn

Download or read book Documentation for Rehabilitation - E-Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2015-11-18 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better patient management starts with better documentation! Documentation for Rehabilitation: A Guide to Clinical Decision Making in Physical Therapy, 3rd Edition shows how to accurately document treatment progress and patient outcomes. Designed for use by rehabilitation professionals, documentation guidelines are easily adaptable to different practice settings and patient populations. Realistic examples and practice exercises reinforce concepts and encourage you to apply what you’ve learned. Written by expert physical therapy educators Lori Quinn and James Gordon, this book will improve your skills in both documentation and clinical reasoning. A practical framework shows how to organize and structure PT records, making it easier to document functional outcomes in many practice settings, and is based on the International Classification for Functioning, Disability, and Health (ICF) model — the one adopted by the APTA. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, and nursing homes, as well as a separate chapter on documentation in pediatric settings. Guidelines to systematic documentation describe how to identify, record, measure, and evaluate treatment and therapies — especially important when insurance companies require evidence of functional progress in order to provide reimbursement. Workbook/textbook format uses examples and exercises in each chapter to reinforce your understanding of concepts. NEW Standardized Outcome Measures chapter leads to better care and patient management by helping you select the right outcome measures for use in evaluations, re-evaluations, and discharge summaries. UPDATED content is based on data from current research, federal policies and APTA guidelines, including incorporation of new terminology from the Guide to Physical Therapist 3.0 and ICD-10 coding. EXPANDED number of case examples covers an even broader range of clinical practice areas.

Documentation Manual for Writing SOAP Notes in Occupational Therapy

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Author :
Publisher : Slack Incorporated
ISBN 13 : 9781556427190
Total Pages : 236 pages
Book Rating : 4.4/5 (271 download)

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Book Synopsis Documentation Manual for Writing SOAP Notes in Occupational Therapy by : Sherry Borcherding

Download or read book Documentation Manual for Writing SOAP Notes in Occupational Therapy written by Sherry Borcherding and published by Slack Incorporated. This book was released on 2005 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Manual focusing on documenting the occupational therapy process. Each skill is broken down into small steps and taught individually. Includes a template for writing problems, goals, and each section of the SOAP note. Also includes practice worksheets and detachable checklist and summary.

Physical Therapy Documentation

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Publisher : SLACK Incorporated
ISBN 13 : 9781556427824
Total Pages : 228 pages
Book Rating : 4.4/5 (278 download)

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Book Synopsis Physical Therapy Documentation by : Mia Erickson

Download or read book Physical Therapy Documentation written by Mia Erickson and published by SLACK Incorporated. This book was released on 2008 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complete & accurate documentation is one of the essential skills for a physical therapist. This book covers all the fundamentals & includes practice exercises & case studies throughout.

Physical Therapy Documentation

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Author :
Publisher : Taylor & Francis
ISBN 13 : 1040137024
Total Pages : 259 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Physical Therapy Documentation by : Mia Erickson

Download or read book Physical Therapy Documentation written by Mia Erickson and published by Taylor & Francis. This book was released on 2024-06-01 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Newly updated and revised, Physical Therapy Documentation: From Examination to Outcome, Third Edition provides physical therapy students, educators, and clinicians with essential information on documentation for contemporary physical therapy practice. Complete and accurate documentation is one of the most essential skills for physical therapists. In this text, authors Mia L. Erickson, Rebecca McKnight, and Ralph Utzman teach the knowledge and skills necessary for correct documentation of physical therapy services, provide guidance for readers in their ethical responsibility to quality record-keeping, and deliver the mechanics of note writing in a friendly, approachable tone. Featuring the most up-to-date information on proper documentation and using the International Classification of Functioning, Disabilities, and Health (ICF) model as a foundation for terminology, the Third Edition includes expanded examples across a variety of practice settings as well as new chapters on: Health informatics Electronic medical records Rules governing paper and electronic records Billing, coding, and outcomes measures Included with the text are online supplemental materials for faculty use in the classroom. An invaluable reference in keeping with basic documentation structure, Physical Therapy Documentation: From Examination to Outcome, Third Edition is a necessity for both new and seasoned physical therapy practitioners.

Hands Heal

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781757577
Total Pages : 408 pages
Book Rating : 4.7/5 (575 download)

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Book Synopsis Hands Heal by : Diana L. Thompson

Download or read book Hands Heal written by Diana L. Thompson and published by Lippincott Williams & Wilkins. This book was released on 2006 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Third Edition of this widely used text provides manual therapists with much-needed guidance on taking client histories, setting functional goals, communicating with health care and legal professionals, documenting outcomes, and billing insurance companies. This edition includes crucial information on HIPAA regulations, new and updated blank forms, and lists of codes for self-referred patients and for insurance verification forms. Reader-friendly features include sidebars, case studies, chapter summaries, and useful appendices. A front-of-book CD-ROM includes the blank forms for use in practice, a quick-reference abbreviation list, and a quiz tool to review key concepts. Faculty ancillaries are available upon adoption.

Physical Therapy Documentation

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Publisher :
ISBN 13 : 9781630916275
Total Pages : 160 pages
Book Rating : 4.9/5 (162 download)

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Book Synopsis Physical Therapy Documentation by : Mia L. Erickson

Download or read book Physical Therapy Documentation written by Mia L. Erickson and published by . This book was released on 2020 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Newly updated and revised, Physical Therapy Documentation: From Examination to Outcome, Third Edition provides physical therapy students, educators, and clinicians with essential information on documentation for contemporary physical therapy practice. Complete and accurate documentation is one of the most essential skills for physical therapists. In this text, authors Mia L. Erickson, Rebecca McKnight, and Ralph Utzman teach the knowledge and skills necessary for correct documentation of physical therapy services, provide guidance for readers in their ethical responsibility to quality record-keeping, and deliver the mechanics of note writing in a friendly, approachable tone. Featuring the most up-to-date information on proper documentation and using the International Classification of Functioning, Disabilities, and Health (ICF) model as a foundation for terminology, the Third Edition includes expanded examples across a variety of practice settings as well as new chapters on: Health informatics, Electronic medical records, Rules governing paper and electronic records, Billing, coding, and outcomes measures"--

Guide to Clinical Documentation

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Publisher : F.A. Davis
ISBN 13 : 0803629974
Total Pages : 301 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Guide to Clinical Documentation by : Debra Sullivan

Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.

Documentation for Rehabilitation - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323694314
Total Pages : 594 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Documentation for Rehabilitation - E-Book by : Lori Quinn

Download or read book Documentation for Rehabilitation - E-Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2024-04-12 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better patient management starts with better documentation! Documentation for Rehabilitation, 4th Edition demonstrates how to accurately document treatment progress and patient outcomes using a framework for clinical reasoning based on the International Classification for Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association (APTA). The documentation guidelines in this practical resource are easily adaptable to different practice settings and patient populations in physical therapy and physical therapy assisting. Realistic examples and practice exercises reinforce the understanding and application of concepts, improving skills in both documentation and clinical reasoning. Workbook/textbook format with examples and exercises in each chapter helps reinforce understanding of concepts. Coverage of practice settings includes documentation examples in acute care, rehabilitation, outpatient, home care, nursing homes, pediatrics, school, and community settings. Case examples for a multitude of documentation types include initial evaluations, progress notes, daily notes, letters to insurance companies, Medicare documentation, and documentation in specialized settings. NEW! Movement Analysis – Linking Activities and Impairments content addresses issues related to diagnosis. NEW! An eBook version, included with print purchase, provides access to all the text, figures and references, with the ability to search, customize content, make notes and highlights, and have content read aloud. Updated case examples provide clinical context for patient documentation. Revised content, including updated terminology from the latest updates to the Guide to Physical Therapist Practice, provides the most current information needed to be an effective practitioner. Updated references ensure content is current and applicable for today’s practice.

Reference Manual of the Official Documents of the American Occupational Therapy Association, Inc

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Author :
Publisher :
ISBN 13 :
Total Pages : 448 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Reference Manual of the Official Documents of the American Occupational Therapy Association, Inc by : American Occupational Therapy Association

Download or read book Reference Manual of the Official Documents of the American Occupational Therapy Association, Inc written by American Occupational Therapy Association and published by . This book was released on 1998 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Effective Documentation for Physical Therapy Professionals, Second Edition

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 0071739602
Total Pages : 353 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Effective Documentation for Physical Therapy Professionals, Second Edition by : Eric Shamus

Download or read book Effective Documentation for Physical Therapy Professionals, Second Edition written by Eric Shamus and published by McGraw Hill Professional. This book was released on 2011-05-09 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive textbook for the documentation material required in all Physical Therapy programs. Physical Therapy is one of the fastest growing professions in the US; if they want to get paid by third parties, they need to have a solid understanding of documentation. This book covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. Market / Audience Primary market are the 30,000 PT students based in the US, attending 210 programs. Secondary market: 155,000 clinicians currently practicing. The primary market for this book, students, has grown by 33% since 2003, when the first edition was published. About the Book From exercise prescriptions to patient evaluations, insurance forms, billing, and much more—Effective Documentation for Physical Therapy Professionals is your best choice for learning when, what, and how to document. Included are every essential aspect of documentation and many sample documents. The easy-to-follow format gives you the professional guidelines, codes, and methodology you need to provide expert documentation. Key Selling Features Includes all aspects of documentation including reimbursement and billing, coding, legal issues, PT-PT and PT-PTA communication, and utilization review/quality assurance. Sample documentation content, forms, exercises and questions are provided as appropriate. Uses current APTA terminology and all pertinent professional association regulations. Includes SOAP guidelines and examples as well as standardized forms and assessment tools The most up-to-date, comprehensive documentation book for Physical Therapy students and practitioners on the market. Contains plenty of examples and exercises to provide practical knowledge to users of the text. Author Profiles Eric Shamus, DPT, PhD, CSCS has taught national and international continuing education courses on Orthopeadics, Sports Medicine, and Manual Therapy, with a focus on documentation and reimbursement. He is presently a professor at Florida Gulf Coast University and works at an outpatient orthopedic facility in Fort Lauderdale. Debra F. Stern, PT, MSM, DBA is an Associate Professor at Nova Southeastern University in Fort Lauderdale, FL. She serves as a clinical instructor with a focus on geriatrics, neuromuscular disorders, and also coordinates service learning experiences for the school's PT department. She received her BS in Physical Therapy from SUNY Buffalo, her MSM from Rollins College, and her DBAS at Nova Southeastern.

Documentation Basics

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Author :
Publisher : SLACK Incorporated
ISBN 13 : 1617110086
Total Pages : 176 pages
Book Rating : 4.6/5 (171 download)

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Book Synopsis Documentation Basics by : Mia Erickson

Download or read book Documentation Basics written by Mia Erickson and published by SLACK Incorporated. This book was released on 2012 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Second Edition of Documentation Basics: A Guide for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z.

OTA Exam Review Manual

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Publisher : SLACK Incorporated
ISBN 13 : 9781556427015
Total Pages : 230 pages
Book Rating : 4.4/5 (27 download)

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Book Synopsis OTA Exam Review Manual by : Karen Sladyk

Download or read book OTA Exam Review Manual written by Karen Sladyk and published by SLACK Incorporated. This book was released on 2005 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you a student preparing for the NBCOT exam? Looking for only one study guide to help you prepare for this important day? Wondering what thousands of your peers and fellow students have relied on for their studying needs? The answer is the OTA Exam Review Manual-now available in a completely updated and revised second edition with over 550 questions. This invaluable study tool is designed to guide students through the studying process from start to finish. With a redesigned question format to match the NBCOT exam, more questions, and an on-line testing component, this second edition is a study guide that inspires critical thinking. Karen Sladyk and her co-authors incorporate domain-, task-, and knowledge-style questions as a way to prepare students for the pace of the NBCOT exam. This collection of questions enables students to think logically for the answers, not just practice for the exam. The OTA Exam Review Manual, Second Edition also includes an on-line testing component. With 250 questions (50 more than the previous edition), this feature assists students with integrated learning and the ability to maximize their computer testing skills. Covering topics such as study techniques, content outlines, fieldwork, and life after the exam, the OTA Exam Review Manual, Second Edition is the most current and extensive review on the market for OTA students. Features: Contains 550 questions (50 more than the previous edition) divided into 11 one-hour test period simulations Redesigned question format to match new NBCOT exam Includes a new user-friendly, on-line testing component incorporating domain-style questions from the book Worksheets, time organizers, and appendix resources

Effective Documentation for Physical Therapy Professionals

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Author :
Publisher : McGraw-Hill Medical
ISBN 13 :
Total Pages : 276 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Effective Documentation for Physical Therapy Professionals by : Eric Shamus

Download or read book Effective Documentation for Physical Therapy Professionals written by Eric Shamus and published by McGraw-Hill Medical. This book was released on 2004 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).

The Psychotherapy Documentation Primer

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119709938
Total Pages : 288 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis The Psychotherapy Documentation Primer by : Donald E. Wiger

Download or read book The Psychotherapy Documentation Primer written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2020-11-10 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Everything you need to know to record client intake, treatment, and progress—incorporating the latest managed care, accrediting agency, and government regulations Paperwork and record keeping are day-to-day realities in your mental health practice. Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger group practices, inpatient facilities, and hospitals. The standard professionals and students have turned to for quick and easy, yet comprehensive, guidance to writing a wide range of mental health documents, the Fourth Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples. Fully updated to include diagnostic criteria of the DSM-5, The Psychotherapy Documentation Primer, 4th Edition is designed to teach documental skills for the course of psychotherapy from the initial interview to the discharge. The documentation principles discussed in the text satisfy the often-rigid requirements of third-party insurance companies, regulating agencies, mental health licensing boards, and federal HIPAA regulations. More importantly, it provides students and professionals with the empirical and succinct documentation techniques and skills that will allow them to provide clear evidence of the effects of mental health treatment while also reducing the amount of their time spent on paperwork.

The OTA’s Guide to Documentation

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Author :
Publisher : Taylor & Francis
ISBN 13 : 1040141935
Total Pages : 354 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis The OTA’s Guide to Documentation by : Marie Morreale

Download or read book The OTA’s Guide to Documentation written by Marie Morreale and published by Taylor & Francis. This book was released on 2024-06-01 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA’s Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and bonus videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reflected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes, and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions. New in the Fifth Edition: Incorporation of the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition and other updated American Occupational Therapy Association documents Updated information to meet Medicare Part B and other third-party payer requirements Revised clinical terminology on par with current trends Added examples from emerging practice areas Expanded tables along with new worksheets and learning activities Included with the text are online supplemental materials for faculty use in the classroom, this includes: access to supplemental website worksheets, learning activities, and scenario-based videos to practice the documentation process.