The How-To Manual for Rehab Documentation, Third Edition

The How-To Manual for Rehab Documentation, Third Edition

Author: Rick Gawenda

Publisher: HC Pro, Inc.

Published: 2009-04-06

Total Pages: 183

ISBN-13: 1601463235

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The How-To Manual for Rehab Documentation, Third Edition A Complete Guide to Increasing Reimbursement and Reducing Denials Rick Gawenda, PT Up-to-speed with Medicare documentation requirements for 2009 and beyond? Increase cash flow and reduce Medicare claim denials by using strategies provided in the Third Edition of The How-To Manual for Rehab Documentation. Written by national consultant Rick Gawenda, PT. Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in therapy settings. And now that the RACs are underway it is even more important to have accurate and thorough documentation. Mistakes can lead to delayed payments and denials, so how do ensure that you are in compliance with the current guidelines? Make it easy. Order your copy of The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials. Written by author and national consultant Rick Gawenda, PT, of Gawenda Seminars, this book and CD-ROM setfocuses on the clinical aspects of documentation and offers proven methods to strengthen documentation and decrease the frequency of denials. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes. What's new in the third edition? Clarification of certification and re-certification requirements regarding how long they are valid for and how soon they need to be signed Explanation of delayed certification Tips to write function-based short- and long-term goals Updated examples of well-written goals Updated payer documentation guidelines for evaluations, progress reports, daily notes, discharge reports, and re-evaluations The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials outlines proper documentation strategies starting from the moment a patient registers and receives treatment to billing for time and services. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes. This comprehensive book and CD-ROM, helps you: Improve therapy billing through better documentation Prevent denials as a result of better documentation practices Maintain quality assurance through proper documentation Optimize your reimbursement from both Medicare and third-party payers Avoid audits and targeted medical reviews Document care in a more efficient way Take the critical steps to verify therapy benefit coverage prior to a patient's initial visit Support skilled therapy services with inclusion of required documentation Understand Medicare certification and recertification time frames and requirements for all therapy settings Understand and use the most commonly used CPT codes and modifiers in rehabilitation therapy Table of Contents: Chapter 1: The Role of the Registration Staff Registration Basics Benefit Verification Preregistering Chapter 2: Initial Documentation Evaluation Format Documentation Components Evaluation Process Objective Criteria Assessment Documentation Goals POC Documentation Creating a Solid Foundation Chapter 3: Certification and Recertification Physician Referrals Physician Referral Denials Outpatient Therapy Settings Certification and Recertification SNF Part A Therapy Services Reimbursed Under the Prospective Payment System (PPS) Home Health Agency Part A Therapy Services Chapter 4: Daily Documentation Daily Documentation Documentation Requirements Home Exercise Programs (HEPs) Plan Documentation Chapter 5: Progress Reports, Discharge Reports, and Reevaluations Progress Reports Discharges Reevaluations Chapter 6: Maintenance Therapy What is an FMP? Coverage Criteria Documentation Requirements Billing Cover All Your Bases Chapter 7: Wound Care Under Medicare Discharge Criteria Additional Pointers Appendix A: Navigating the CMS Web site Getting Started Final Word Make it easy to understand CMS' documentation guidelines No need to download and interpret the guidance from the CMS Web site yourself. Author Rick Gawenda, PT, has done the work for you. His documentation practices are sure to help you receive optimal compensation for the services you perform as a therapist. Nearly half of all rehab claim denials are STILL due to improper documentation. Ensure proper documentation for services provided and decrease the frequency of denials. Order The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials today!


Physical Therapy Documentation

Physical Therapy Documentation

Author: Mia Erickson

Publisher: SLACK Incorporated

Published: 2008

Total Pages: 228

ISBN-13: 9781556427824

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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 Manual for Writing SOAP Notes in Occupational Therapy

Documentation Manual for Writing SOAP Notes in Occupational Therapy

Author: Sherry Borcherding

Publisher: Slack Incorporated

Published: 2005

Total Pages: 236

ISBN-13: 9781556427190

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Manual focusing on documenting the occupational therapy process. Each skill is broken down into small steps and taught individually. Includes a template for writing problems, goals, and each section of the SOAP note. Also includes practice worksheets and detachable checklist and summary.


Documentation Basics

Documentation Basics

Author: Mia Erickson

Publisher: SLACK Incorporated

Published: 2012

Total Pages: 176

ISBN-13: 1617110086

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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.


Effective Documentation for Physical Therapy Professionals

Effective Documentation for Physical Therapy Professionals

Author: Eric Shamus

Publisher: McGraw-Hill Medical

Published: 2004

Total Pages: 276

ISBN-13:

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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).


Writing Patient/Client Notes

Writing Patient/Client Notes

Author: Ginge Kettenbach

Publisher: F.A. Davis

Published: 2016-05-11

Total Pages: 295

ISBN-13: 080365846X

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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.


Music Therapy Social Skills Assessment and Documentation Manual (MTSSA)

Music Therapy Social Skills Assessment and Documentation Manual (MTSSA)

Author: Jenni Rook

Publisher: JKP

Published: 2014

Total Pages: 202

ISBN-13: 1849059853

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This comprehensive handbook provides adaptable assessment and documentation processes for social skill development in music therapy group sessions for children with developmental disabilities. It also includes a CD-ROM of forms and tools, as well as songs that help to facilitate social interaction.


Documentation for Rehabilitation - E-Book

Documentation for Rehabilitation - E-Book

Author: Lori Quinn

Publisher: Elsevier Health Sciences

Published: 2015-11-18

Total Pages: 289

ISBN-13: 0323312349

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- NEW Standardized Outcome Measures chapter leads to better care and patient management by helping you select the right outcome measures for use in evaluations, re-evaluations, and discharge summaries. - UPDATED content is based on data from current research, federal policies and APTA guidelines, including incorporation of new terminology from the Guide to Physical Therapist 3.0 and ICD-10 coding. - EXPANDED number of case examples covers an even broader range of clinical practice areas.


Legal Aspects of Documenting Patient Care for Rehabilitation Professionals

Legal Aspects of Documenting Patient Care for Rehabilitation Professionals

Author: Ronald W. Scott

Publisher: Jones & Bartlett Learning

Published: 2006

Total Pages: 214

ISBN-13: 9780763730468

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Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team.