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Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Second Edition of Documentation Basics: A Guide for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z.
Build your documentation skills—and your confidence. Step by step, this text/workbook introduces you to the importance of documentation; shows you how to develop and write a proper and defensible note; and prepares you to meet the technological challenges you’ll encounter in practice. You’ll learn how to provide the proper documentation to assure all forms of reimbursement (including third party) for your services. You’ll also explore issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society.
How important is documentation? Very! Physical Therapist Assistants must provide the proper documentation to assure all forms of reimbursement (including third party) for their services. And, appropriate documentation also addresses issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society. Build your students' documentation skills and their confidence, step by step, with the guidance and practice they'll find inside the 3rd Edition. They'll be prepared to meet the technological challenges of today...and tomorrow. - Review questions and practice exercises help readers assess their understanding of all aspects of SOAP notes. - Examples of appropriate and inappropriate notes show what and what not to do. - Examples of different types of documentation and forms illustrate procedures in different practice settings. - All of the terminology adheres to the APTA's Guide to Physical Therapy Practice.
Complete & accurate documentation is one of the essential skills for a physical therapist. This book covers all the fundamentals & includes practice exercises & case studies throughout.
Documentation for Physical Therapist Practice: A Clinical Decision Making Approach provides the framework for successful documentation. It is synchronous with Medicare standards as well as the American Physical Therapy Association’s recommendations for defensible documentation. It identifies documentation basics which can be readily applied to a broad spectrum of documentation formats including paper-based and electronic systems. This key resource skillfully explains how to document the interpretation of examination findings so that the medical record accurately reflects the evidence. In addition, the results of consultation with legal experts who specialize in physical therapy claims denials will be shared to provide current, meaningful documentation instruction.
Be prepared for your new role as a PTA. This is the perfect introduction to the history of the Physical Therapist Assistant and their responsibilities today. The 2nd Edition of this groundbreaking delves into the ever-expanding role of the PTA in the clinical setting, as well as the regulations that govern the PTA’s scope of work.
Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.
Clinical Decision Making for the Physical Therapist Assistant is a practical guide to developing the clinical judgment essential to effective patient care. Co-authored by two prominent physical therapy educators, this informative reference addresses a skill that is crucial to the success of Physical Therapist Assistants (PTAs). Designed to integrate decision making into PTA education, it covers the types of decisions that must be made in physical therapy treatment and offers sound guidance on how to make them. Critical thinking questions and treatment activities are included with each chapter to enable students to apply what they’ve learned to real-life situations. This text is a valuable resource for intermediate and post intermediate physical therapist assistant courses. Designed Specifically for PTAs Provides clear guidance on making everyday clinical decisions Covers decision making in the context of major areas of physical therapy Integrates decision making into technical education Provides examples of decisions encountered in patient care
This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).
With other texts written at either too high or too low a level, this book meets the needs of PTA students for usable, understandable pathology related to clinical application. Extensively illustrated, this book allows students to more easily comprehend and maintain interest in otherwise complicated pathological processes. The fourteen chapter format effectively fits within a chapter per week course structure, or each chapter may be used as a stand alone module within any course.