Effective Documentation for Physical Therapy Professionals

頁數：338　裝訂：平裝 　開數：27.5x21.6cm 　印刷：雙色 重量：0.7KG

About the book

Everything the physical therapists needs to know about the documentation process in one clear, concise, easy-to-follow text

Effective Documentation for Physical Therapy Professionals is your best choice for gaining a solid understanding of the entire physical therapy documentation process. There is no faster or easier way to learn the when, what, and how of physical therapy documentation than this trusted guide. The second edition has been updated to include the most recent professional guidelines, codes, and methodologies and covers timely subjects such as Medicare, electronic record keeping, legal issues, pediatric documentation, utilization review and management, and much more.

With Effective Documentation for Physical Therapy Professionals, you will learn how to incorporate all of the general principles of documentation and health information management in order to effectively maintain and organize records, record appropriate information, and receive proper reimbursement based on the documentation content.

Master All Aspects of PT Documentation With:
APTA Standards and Guidelines, Medicare, Home Health, Electronic Record Keeping, ICF Model and Application, Pediatrics, Legal Issues, Utilization Review & Management, SNF: RUGS and MDS, Sample Documentation Content, Initial Examination and Evaluation Criteria, Continuum of Care Content and Goal Writing Exercises, Documentation Aspects of Supervising PTAs, Abbreviations, Reimbursement, ICD9 and CPT Codes and Application, Chapter Review Questions, Content Principles.

Key features
--Includes all aspects of documentation including reimbursement and billing, coding, legal issues, PT-PT and PT-PTA communication, and utilization review/quality assurance.

Table of contents
Chapter 1. Introduction, Background, Purpose and General Rules for Health Information Management (Medical Record Keeping)
Chapter 2. Record Organization and General Principles
Chapter 3. Application of Models for Organization and Guidelines for Content
Chapter 4. Content Standardization/Component Requirements
Chapter 5. Coding and Documentation
Chapter 6. Home Health Documentation
Chapter 7. Legal Issues in the Medical Record
Chapter 8. MDS Purpose and Components
Chapter 9. Medicare and Non-Medicare Content Principles
Chapter 10. Pediatric Documentation
Chapter 11. The Electronic Medical Record
Chapter 12. Utilization Review and Utilization Management
Appendix A: Abbreviations
Appendix B: CMS 700 Form and CS-1786 HIPPA Disclosure Form
Appendix C: CMS Forms 1450 and 1500 with Instructions
Appendix D: ICD-9 Code Terms
Appendix E: APTA Guidelines for Physical Therapy Documentation and Guidelines for Group Coding
Appendix F: Goal Writing Exercise
Appendix G: Note Writing Exercise
Appendix H: Documentation Content Exercise
Appendix I: Documentation Content Examples