Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization (PHYSICAL THERAPY) - Softcover

Shamus, Eric; Stern, Debra F.; McGehee, William F.

Softcover

ISBN 10: 1260440664 ISBN 13: 9781260440669

Publisher: McGraw Hill / Medical, 2021

Synopsis

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Clear, concise, and simple to follow―everything you need to master the documentation process quickly and easily

Communicating Clinical Decision Making Through Documentation is the top choice for professionals and students seeking complete coverage of the documentation process including billing and coding. It shows how to ensure every service rendered and billed is supported by showing what to document, how to do it, and why it is so important.

This text includes a refreshing student-friendly approach to the topic. You will find an abundance of cases portraying real-life case scenarios and it delivers must-know information on writing patient/client care notes, incorporating document guidelines, documenting clinical decision making (includes evidence-based practice), and performing billing and coding tasks.

With Communicating Clinical Decision Making Through Documentation, you’ll effectively maintain and organize records, record appropriate information, and receive proper payment based on the documentation content.

A to Z coverage of physical therapy documentation, including:

• Documentation Standards and Guidelines
• Medicare
• Home Health
• Electronic Medical Records (EMR)
• International Classification of Functioning (ICF) Model and Application
• Pediatrics
• Legal Issue
• Utilization Review & Management
• Skilled Nursing Facilities
• Sample Documentation Content
• Initial Examination and Evaluation Criteria
• Continuum of Care Content and Goal Writing Exercises
• Documentation Aspects of Supervising PTAs
• Abbreviations
• Payment
• ICD-10 and CPT Codes and Application
• Chapter Review Questions
• Content Principles
  
  
  
  
  
  

About this title

About the Authors

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.

Edition details

• Publisher: McGraw Hill / Medical
• Publication date: 2021
• Language: English
• ISBN 10: 1260440664
• ISBN 13: 9781260440669
• Binding: Paperback
• Edition number: 1
• Number of pages: 528