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Effective Documentation for Physical Therapy Professionals, Second Edition
Effective Documentation for Physical Therapy Professionals, Second Edition

Effective Documentation for Physical Therapy Professionals, Second Edition, 2nd Edition

ISBN10: 0071739602 | ISBN13: 9780071739603
By Eric Shamus and Debra Stern
© 2011

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* The estimated amount of time this product will be on the market is based on a number of factors, including faculty input to instructional design and the prior revision cycle and updates to academic research-which typically results in a revision cycle ranging from every two to four years for this product. Pricing subject to change at any time.

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Comprehensive textbook for the documentation material required in all Physical Therapy programs. Physical Therapy is one of the fastest growing professions in the US; if they want to get paid by third parties, they need to have a solid understanding of documentation. This book covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance.

Market / Audience
Primary market are the 30,000 PT students based in the US, attending 210 programs. Secondary market: 155,000 clinicians currently practicing.

The primary market for this book, students, has grown by 33% since 2003, when the first edition was published.

About the Book
From exercise prescriptions to patient evaluations, insurance forms, billing, and much more—Effective Documentation for Physical Therapy Professionals is your best choice for learning when, what, and how to document. Included are every essential aspect of documentation and many sample documents.

The easy-to-follow format gives you the professional guidelines, codes, and methodology you need to provide expert documentation.

Key Selling Features

  • Includes all aspects of documentation including reimbursement and billing, coding, legal issues, PT-PT and PT-PTA communication, and utilization review/quality assurance.
  • Sample documentation content, forms, exercises and questions are provided as appropriate.
  • Uses current APTA terminology and all pertinent professional association regulations.
  • Includes SOAP guidelines and examples as well as standardized forms and assessment tools
  • The most up-to-date, comprehensive documentation book for Physical Therapy students and practitioners on the market. Contains plenty of examples and exercises to provide practical knowledge to users of the text.

Author Profiles
Eric 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.

Chapter 1. Introduction, Purpose and General Rules for Health Management (Medical Record Keeping)Chapter 2. Record Organization and General PrinciplesChapter 3. Application of Models for Organization and Guidelines for ContentChapter 4. Component RequirementsChapter 5. Coding and DocumentationChapter 6. Standardized Forms and ContentChapter 7. Legal Issues in the Medical RecordChapter 8. MDS Purpose and ComponentsChapter 9. Medicare and Non-Medicare Content PrinciplesChapter 10. Pediatric DocumentationChapter 11. The Electronic Medical Record or Computerized Patient RecordChapter 12. Utilization Review and Utilization ManagementAppendix A: AbbreviationsAppendix B: CMS 700 FormAppendix C: CMS FOrms 1450 and 1500 with InstructionsAppendix D: ICD-9 Code TermsAppendix E: APTA Guidelines for Physical Therapy Appendix F: Goal Writing ExerciseAppendix G: Note Writing ExerciseAppendix H: Documentation Content ExerciseAppendix I: Physical Therapy Note Examples

About the Author

Eric Shamus

Eric 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 Stern

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.

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