Table of Contents
Chapter 1. Medical Necessity
Chapter 2. Note Writing
Chapter 3. What to Avoid
Chapter 4. Scope of Practice
Chapter 5 . Electronic Medical Records (EMRs)
Chapter 6. Conclusion
Series: Physical Medicine and Rehabilitation
Patient care is the cornerstone of occupational therapy, but it does not exist in isolation. Documentation is an important counterpart, which ensures accurate reimbursement, treatment, and justification for care. However, students often struggle with documentation courses and professors similarly have difficulty teaching such an extensive topic.
Due to stark differences between occupational therapy practice areas and even facilities of the same type, therapists are left to fill in the gaps and teach themselves documentation skills. Therapists are often without a reliable, hands-on tool to gain adequate documentation skills, both in school and in the clinic.
Effective Occupational Therapy Documentation serves as a go-to guide for learning and practicing basic therapy documentation. This useful reference tool provides the structure for therapy notes in every setting, along with rationale for how other healthcare disciplines fit into therapy documentation.
(Imprint: Nova Medicine and Health)