Documentation for the Physical Therapist Assistant

This text/workbook is essential for developing and writing proper and defensible notes, meeting technological challenges, and providing appropriate documentation to ensure reimbursement. It also covers patient confidentiality, HIPAA requirements, and legal and ethical practice in a litigious society.

Format: Paperback / softback
Length: 276 pages
Publication date: 08 October 2021
Publisher: F.A. Davis Company

This text/workbook is a comprehensive guide that emphasizes the importance of documentation in supporting quality patient care and ensuring appropriate reimbursement. It provides step-by-step instructions on how to develop and write proper and defensible notes, preparing you to face the technological challenges you will encounter in practice. You will learn how to provide the necessary documentation to secure all forms of reimbursement, including third-party payments. Additionally, you will explore issues related to patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society.

The book explores all aspects of SOAP notes, including review questions and practice exercises to help students remember key information. It demonstrates appropriate and inappropriate note-taking through examples, teaching procedures for various practice settings with examples of different types of documentation and forms. The book includes notes from various practice settings, including hospitals, acute orthopedic, rehabilitation, nursing homes, outpatient, and pediatrics, along with different types of diagnoses related to the notes. It follows the standards of the APTAs Guide to Physical Therapy Practice, using the proper terminology.

In the new edition of this text, you will find numerous updates, reviews, and revisions to reflect the latest guidelines, documentation procedures, and technologies. Narrated videos of patient treatment sessions online at FADavis.com offer students practice completing SOAP notes that emulate electronic records documentation. A new Patient Treatment Observation Form is also provided for students to complete after each chapter.

By following the guidance provided in this text/workbook, you will build your documentation skills and enhance your confidence in providing quality patient care. It is an essential resource for physical therapy assistants, students, and practicing professionals seeking to improve their documentation practices and meet the demands of the healthcare industry.

Weight: 644g
Dimension: 230 x 279 x 19 (mm)
ISBN-13: 9781719643085
Edition number: 6 Revised edition