Documentation for Physical Therapist Assistants - Wendy D Bircher

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Résumé :

• I. Why is Documentation Important?
• 1. The World Health Organization and the International Classification of Functioning, Disability and Health
• 2. Demystifying the ICD 10 Coding System
• 3. Your Documentation Related to Legal and Ethical Issues
• 4. Reimbursement Issues Related to Documentation
• 5. Physical Therapy Patient Management and Documentation Responsibilities
• II. Steps to Documentation
• 6. Documentation Content and Organization
• 7. Introduction to Documentation
• 8. How Does Documentation Relate to Patient Issues
• III. How Do SOAP Notes Ensure Good Patient Care?
• 9. Introduction to the SOAP Note
• 10. What Are Subjective Data and Why Are They Important?
• 11. What Are Objective Data and Why Are They Important?
• 12. What Are Assessment Data and Why Are They Important?
• 13. What Is the Plan and Why Is It Important?
• IV. Testing What You Know
• 14. Putting Pieces of the Puzzle Together
• 15. Do You Know Enough?
• Bibliography
• Glossary
• Appendices
• A. Abbreviations
• B. Soap Note Rubric
• C. Documenting Interventions