Effective Documentation for Physical Therapy Professionals

ISBN-10: 0071664041
ISBN-13: 9780071664042
Edition: 2nd 2011
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Book details

List price: $71.00
Edition: 2nd
Copyright year: 2011
Publisher: McGraw-Hill Education
Publication date: 6/13/2011
Binding: Paperback
Pages: 352
Size: 8.50" wide x 11.00" long x 0.50" tall
Weight: 1.848
Language: English

Author ProfilesEric 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.

Introduction, Background, Purpose and General Rules for Health Information Management (Medical Record Keeping)
Record Organization and General Principles
Application of Models for Organization and Guidelines for Content
Content Standardization/Component Requirements
Coding and Documentation
Home Health Documentation
Legal Issues in the Medical Record
MDS Purpose and Components
Medicare and Non-Medicare Content Principles
Pediatric Documentation
The Electronic Medical Record
Utilization Review and Utilization Management
Abbreviations
CMS 700 Form and CS-1786 HIPPA Disclosure Form
CMS Forms 1450 and 1500 with Instructions
ICD-9 Code Terms
APTA Guidelines for Physical Therapy Documentation and Guidelines for Group Coding
Goal Writing Exercise
Note Writing Exercise
Documentation Content Exercise
Documentation Content Examples

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