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Effective Documentation for Physical Therapy Professionals, Second Edition

Effective Documentation for Physical Therapy Professionals, Second Edition

2nd Edition
By Eric Shamus and Debra Stern
ISBN10: 0071664041
ISBN13: 9780071664042
Copyright: 2011

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Program Details

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