Build your documentation skills—and your confidence. Step by step, this text/workbook introduces you to the importance of documentation to support quality patient care and appropriate reimbursement. It shows you how to develop and write a proper and defensible note; and prepares you to meet the technological challenges you’ll encounter in practice. You’ll learn how to provide the proper documentation to assure all forms of reimbursement (including third party) for your services. You’ll also explore issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society.
Build your documentation skills—and your confidence. Step by step, this text/workbook introduces you to the importance of documentation; shows you how to develop and write a proper and defensible note; and prepares you to meet the technological challenges you’ll encounter in practice. You’ll learn how to provide the proper documentation to assure all forms of reimbursement (including third party) for your services. You’ll also explore issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society.
How important is documentation? Very! Physical Therapist Assistants must provide the proper documentation to assure all forms of reimbursement (including third party) for their services. And, appropriate documentation also addresses issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society. Build your students' documentation skills and their confidence, step by step, with the guidance and practice they'll find inside the 3rd Edition. They'll be prepared to meet the technological challenges of today...and tomorrow. - Review questions and practice exercises help readers assess their understanding of all aspects of SOAP notes. - Examples of appropriate and inappropriate notes show what and what not to do. - Examples of different types of documentation and forms illustrate procedures in different practice settings. - All of the terminology adheres to the APTA's Guide to Physical Therapy Practice.
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