Effective documentation for physical therapy professionals [electronic resource] / [edited by], Eric Shamus, Debra Feingold Stern.

By: Shamus, Eric [ed.]Contributor(s): Stern, Debra Feingold [ed.]Series: McGraw-Hill's AccessPhysiotherapy | A Lange medical bookPublication details: New York, N.Y. : McGraw-Hill Education LLC., c2011, c2004Edition: 2nd edDescription: xiii, 338 p. : ill., figs., tablesISBN: 0071664041 (print-ISBN); 0071739602 (e-ISBN); 9780071664042 (print-ISBN); 9780071739603 (e-ISBN)Other title: Effective documentation for physical therapy professionals, Second editionSubject(s): Medical protocols | Medical records | Physical therapy -- Practice | Physical Therapy (Specialty) -- organization & administration -- United States | Forms and Records Control -- methods -- United States | Medical Records -- United StatesAdditional physical formats: Online version: : Effective documentation for physical therapy professionals. DDC classification: 615.8/2068 LOC classification: RM713 | .S74 2011NLM classification: 2011 I-318 | WB 460Online resources: Click here to access online Also issued in online and PDF version.
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.
Abstract: "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" -- Provided by publisher.
List(s) this item appears in: CARES - PT 3: TEST MEASUREMENT (PT EXAMINATION AND EVALUATION, HISTORY TAKING)
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"A Lange medical book."

Includes bibliographical references and indexes.

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.

"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" -- Provided by publisher.

Also issued in online and PDF version.

Description based on cover image and table of contents, viewed on Oct. 19, 2016.

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