Pocket Guide to Therapy Documentation

Front Cover
HC Pro, Inc., 2008 - Medical - 97 pages
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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.
 

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Contents

The medical record
3
Initial examination
11
Objective criteria
18
Assessment documentation
26
Physician referral validity
33
Daily documentation
45
Progress notes
59
What is an FMP?
67
Insufficient information
75
Establishment of a maintenance
81
Assignment of benefits
88
Administrative law judge hearing
95
Copyright

Common terms and phrases

Bibliographic information