Download or read book Pocket Guide to Therapy Documentation written by HCPro and published by HC Pro, Inc.. This book was released on 2008 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Put documentation tips in the palm of your hand with documentation pocket guides made just for therapists! Proper documentation is vital to reimbursement and patient care in the therapy setting. Improper documentation can lead to a host of problems including denials, decreased reimbursement and lawsuits. Unfortunately, therapists don't receive formal training on documentation and are often left to decipher the confusing requirements set forth by Medicare, Medicaid, and managed care companies, alone. A quick, affordable and convenient tool to address therapy documentation The Pocket Guide to Therapy Documentation offers documentation tips and advice in a convenient and handy format. You'll keep this resource close at hand to ensure complete and accurate patient records. Ensure proper documentation and save time with these benefits: Condensed information and easy-to-read bulleted lists, charts, and tabs for quick reference Fast access to reimbursement and coding information Review documentation requirements in less time for all patient encounters including: Initial examination Evaluation Prognosis Diagnosis Reexamination Discharge Tests and measures Therapy managers in Long-Term Care, home health, and hospital settings will want to purchase one for each Occupational Therapist, Speech Language Pathologist, and Physical Therapist in their facility.
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.
Download or read book The How to Guide to Home Health Therapy Documentation written by Cindy Krafft and published by Beacon Health, a Division of Blr. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improve your therapy documentation skills today! This best-selling book has been newly updated to improve therapy documentation immediately. This practical resource is the only product on the market that aids PTs, OTs, and SLPs in honing their documentation skills under OASIS-C and complying with the therapy requirements mandated in the home health PPS rules. Through clear examples, real-life scenarios, and the expertise of author Cindy Krafft, PT, MS, therapists will be able to integrate high-quality documentation processes into effective care management practices. This book will teach you how to: Improve therapy documentation accuracy to ensure payment and compliance Coordinate documentation between therapists and other members of the clinical team to improve patient care Prove medical necessity and need for skilled care by practicing accurate documentation Align documentation with functional reassessment and OASIS-C requirements Prevent missed payment and denials and reduce the risk of an audit Table of Contents: Chapter 1: Welcome to the World of Home Health Chapter 2: Documentation: The "D" Word Chapter 3: Medical Necessity Chapter 4: OASIS: Impact on Therapy Practice Chapter 5: Assessments: The Foundation for Medical Necessity Chapter 6: Goals: Measurable and Meaningful Chapter 7: Planning Care: Putting the Pieces Together Chapter 8: Routine Visits: The Need for Ongoing Therapy Chapter 9: Reassessments: Home Health Requirements Chapter 10: Tips for Qualified Therapists Chapter 11: Tips for Therapist Assistants Chapter 12: Tips for Reviewers Chapter 13: The Future of Therapy in Home Health
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.
Download or read book Occupational Therapy Evaluation for Children a Pocket Guide written by Shelley Mulligan and published by Lippincott Williams & Wilkins. This book was released on 2014 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In pediatrics, occupational therapy practitioners are concerned most with positively impacting the extent to children and their families are able to successfully and meaningfully go about their daily lives, whether it be playing, learning, working, caring for oneself or others, or socializing. Clinical decisions made throughout the evaluation process ultimately shape what and how occupational therapy practitioners deliver interventions, perhaps making the evaluation process the most important and interesting part of the service delivery process. It is the context where we first come know and appreciate our clients, their specific situations, and discover what it is that we, as occupational therapy practitioners can do to be of most help"--Provided by publisher.
Download or read book The Clinical Documentation Sourcebook written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2005-03-18 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, handouts, and records mental health professionals need to meet documentation requirements The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. This updated and revised Third Edition provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing your practice. From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Third Edition offers sample forms for every stage of the treatment process. Greatly expanded from the second edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out, as well as fifty-two ready-to-copy blank forms. The included CD-ROM also provides these forms in Word format so you can easily customize them to suit your practice. With The Clinical Documentation Sourcebook, Third Edition, you'll spend less time on paperwork and more time with clients. Includes documentation for child, family, and couples counseling Updated for HIPAA compliance, as well as to reflect the latest JCAHO and CARF regulations New focus on clinical outcomes supports the latest innovations in evidence-based practice
Download or read book Occupational Therapy Evaluation for Adults written by Maureen E. Neistadt and published by Lippincott Williams & Wilkins. This book was released on 2000 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quick reference guide helps occupational therapy students and practitioners perform efficient and comprehensive evaluations for adults with disabilities. Designed to fit in the lab coat pocket, this book guides readers through the process of an evaluation. For easy reading, information in this spiralbound volume is organized into tables, boxes, and schematics. Features include: detailed appendices about standardized assessments and formal evaluation procedures; illustrated evaluation procedures; an evaluation checklist to help readers track each client's evaluation; suggestions for sequencing and abbreviating different evaluation procedures; and specific advice on meeting third-party payers' reimbursement requirements.
Download or read book Ther Ex Notes written by Carolyn Kisner and published by F.A. Davis. This book was released on 2022-10-17 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Davis’s Notes Title Perfect wherever you are…in class, in clinic, and in practice! Great study tool. “One of my favorite study tools for school! I flip through this in my down time or on breaks to review and it helps so much.”—Brittany C., Online Reviewer Put the information you need at your fingertips with this handy, easy-to-use guide to the proper exercises for your patients. Each joint tab follows a consistent order—general exercises for the specific region, followed by common pathologies and surgeries, with specific interventions for each pathology or surgery. Crystal-clear photographs show you a wealth of different techniques, while a streamlined format makes the information extremely easy to understand. Following Davis’s Notes Series’ signature style, you’ll have write-on/wipe-off pages for note taking, while thumb tabs and a spiral binding help you find what you need. Updated & Revised! All of currency of Therapeutic Exercise: Foundations and Techniques, 8th Edition by Carolyn Kisner, John Borstad, and Lynn Allen Colby Updated & Revised! Surgical protocols based on new evidence Bulleted tables with a progression of exercises Concise exercise guidelines for selected orthopedic pathologies and operative procedures Exercise interventions for mobility, muscle performance, stability, and balance Over 350 full-color photographs illustrating sequences of exercise for the spine and the extremities And more
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.
Download or read book The Counselor s Steps for Progress Notes written by Rhonda Sutton and published by Createspace Independent Publishing Platform. This book was released on 2015-06-21 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Rhonda Sutton's second edition of the straightforward guide to progress notes includes additional examples, information, documentation, and clinical language that expands on the utility and readability of the first book. Additional case studies provide examples of how to use the STEPs to format notes. New chapters include information on clinical language and documentation. This book covers everything about progress notes, from how to write them, to how to store them, and even what to do when someone requests to them. In addition, clinical terms and abbreviations are included as well as suggestions for other clinical documentation such as termination letters, privacy statements, and professional disclosure statements. Suited for all types of mental health clinicians, this book will help therapists improve upon their progress notes and other forms of clinical documentation.
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.
Download or read book Documentation for Rehabilitation E Book written by Lori Quinn and published by Elsevier Health Sciences. This book was released on 2009-12-18 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Four NEW chapters address additional aspects of documentation that rehabilitation professionals will encounter in practice: Legal aspects of documentation Documentation in pediatrics Payment policy and coding Computerized documentation
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).
Download or read book The Psychotherapy Documentation Primer written by Donald E. Wiger and published by Wiley. This book was released on 1998-10-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An ideal companion to Dr. Wiger's well-received forms book, The Clinical Documentation Sourcebook, as well as the Psychotherapy Treatment Planners, this book explains the rationale behind, and the most efficient approach to, the paperwork required when providing mental health services in the era of managed care. This reference covers every stage of the treatment process, from the initial assessment to diagnosis, psychological reports, treatment plans, and progress notes. No clinician or trainee can afford to be without this accessible reference.
Download or read book Documenting Psychotherapy written by Mary E. Moline and published by SAGE. This book was released on 1998 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise volume examines exactly what is involved in keeping adequate clinical records of individual, family, couple and group psychotherapy. The authors discuss: limits of confidentiality; retention and disposing of records; documentation of safety issues; client access to records; treatment of minors; and training and supervision issues. Throughout the book, legal cases, vignettes and professional commentary help readers to consider legal and ethical issues.
Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Download or read book Peds Rehab Notes written by Robert L Dole and published by F.A. Davis. This book was released on 2010-04-28 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This compact reference presents the practical evidenced- based guidance needed to assess, diagnose, treat or refer pediatric patients effectively in any care setting.
