Effective documentation for physical therapy professionals

A comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current American Physical Therapy Association (APTA) terminology and covers every aspect o documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. An accompanying pocket book provides a handy, portable quick-reference guide to the materials. Includes sample documentation content, forms, cases, exercises, questions, flowsheets, and checklists

1. Introduction, Purpose and General Rules for Health Management (Medical Record Keeping) 2. Record Organization and General Principles 3. Application of Models for Organization and Guidelines for Content 4. Component Requirements 5. Coding and Documentation 6. Standardized Forms and Content 7. Legal Issues in the Medical Record 8. MDS Purpose and Components 9. Medicare and Non-Medicare Content Principles 10. Pediatric Documentation 11. The Electronic Medical Record or Computerized Patient Record 12. Utilization Review and Utilization Management References Appendices