Title:
Effective documentation for physical therapy professionals
Personal Author:
Publication Information:
New York, NY : McGraw-Hill Medical, 2003
ISBN:
9780071400657
Added Author:
Available:*
Library | Item Barcode | Call Number | Material Type | Item Category 1 | Status |
---|---|---|---|---|---|
Searching... | 30000010127126 | RM713 S52 2004 | Open Access Book | Book | Searching... |
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Summary
Summary
Comprehensive textbook for the documentation course required in all Physical Therapy programs. Covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. Includes a bonus pocket book with sample documentation forms and checklists.
Author Notes
Eric Shamus, PT, PhD, CSCS: Assistant Professor Osteopathic Principles and Practice, College of Osteopathic Medicine, Nova Southeastern University Ft. Lauderdale, Florida
Debra Feingold Stern, PT, MSM, DBA: Assistant Professor of Physical Therapy College of Allied Health Health Professions, Southeastern University Ft. Lauderdale, Florida
Table of Contents
Contributors | p. ix |
Preface | p. xi |
Acknowledgments | p. xiii |
Chapter 1 Introduction, Purpose, and General Rules for Health Information Management (Medical Record Keeping) | p. 1 |
Chapter 2 Record Organization and General Principles | p. 11 |
Chapter 3 Application of Models for Organization and Guidelines for Content | p. 21 |
Chapter 4 Component Requirements | p. 33 |
Chapter 5 Coding and Documentation | p. 43 |
Chapter 6 Standardized Forms and Content | p. 57 |
Chapter 7 Legal Issues in the Medical Record | p. 71 |
Chapter 8 MDS Purpose and Components | p. 91 |
Chapter 9 Medicare and Non-Medicare Content Principles | p. 103 |
Chapter 10 Pediatric Documentation | p. 123 |
Chapter 11 The Electronic Medical Record or Computerized Patient Record | p. 139 |
Chapter 12 Utilization Review and Utilization Management | p. 153 |
Pediatric References | p. 177 |
Appendix A Abbreviations | p. 181 |
Appendix B CMS 700 Form | p. 197 |
Appendix C CMS Forms 1450 and 1500 with Instructions | p. 201 |
Appendix D ICD-9 Code Terms | p. 207 |
Appendix E APTA Guidelines for Physical Therapy Documentation | p. 211 |
Appendix F Goal Writing Exercise | p. 229 |
Appendix G Note Writing Exercise | p. 233 |
Appendix H Documentation Content Exercise | p. 237 |
Appendix I Physical Therapy Note Examples | p. 241 |
Index | p. 253 |