Name: Managing Patient/Client Notes 5e By Ginge Kettenbach
SKU: 9780803638204
Price: 69.44 USD
Availability: InStock

Managing Patient/Client Notes 5e Summary

Managing Patient/Client Notes 5e by Ginge Kettenbach

Master the hows and whys of documentation!

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.

Section by section you'll learn how to document clearly and accurately, while exercise by exercise you'll practice mastering every step.

1. Introduction to Documentation
I. The Health Record
2. Overview of the Health Record
3. Legal Aspects of the Health Record
4. Reimbursement
5. Reviewing the Health Record as a Physical Therapist
II. Documentation Basics
6. Writing in a Health Record
7. Introduction to Note Writing
8. Medical Terminology
9. Using Abbreviations
10. Introduction to Documentation Using the International Classification of Functioning, Disability, and Health (ICF) System
III. Documenting the Examination
11. The Patient/Client Management Format: Writing History, Including the Review of Systems
12. The Patient/Client Management Format: Writing Systems Review and Tests and Measures
13. The SOAP Note: Stating the Problem
14. The SOAP Note: Writing Subjective (S), Including the Review of Systems
15. The SOAP Note: Writing Objective (O)
IV. Documenting the Evaluation/Assessment (A)
16. Writing the Evaluation / Assessment (A)
17. Writing the Diagnosis (A: DIAGNOSIS)
18. Writing the Prognosis (A: PROGNOSIS)
V. Documenting the Plan of Care (P)
19. Writing Expected Outcomes and Anticipated Goals
20. Documenting the Intervention Plan
VI. Applications of Documentation Skills
21. Writing the Daily Visit Notes
22. The Medicare Therapy Cap, KX Modifiers, and Functional Limitations Reporting (G Codes)
23. Applications and Variations in Note Writing
Appendices
A. Summary of the Patient/Client Management Note Contents
B. Summary of the SOAP Note Contents
C. Summary of Contents of the Four Types of Notes
D. Tips for Note Writing for Third Party Payers
E. Review of Systems and Systems Review Forms

Additional information

Sku

CIN0803638205G

ISBN 13

9780803638204

ISBN 10

0803638205

Title

Managing Patient/Client Notes 5e by Ginge Kettenbach

Author

Ginge Kettenbach

Condition

Used - Good

Binding type

Paperback

Publisher

F.A. Davis Company

Year published

20160530

Number of pages

304

Prizes

N/A

Cover note

Book picture is for illustrative purposes only, actual binding, cover or edition may vary.

Note

This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in good condition, but if you are not entirely satisfied please get in touch with us

Managing Patient/Client Notes 5e Ginge Kettenbach

Managing Patient/Client Notes 5e by Ginge Kettenbach

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Managing Patient/Client Notes 5e Summary

Managing Patient/Client Notes 5e by Ginge Kettenbach

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