- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Lauren Y Perrone, MPT, OCS (Head 2 Toe Physical Therapy)
Description: This updated book presents general principles of documentation for physical therapy services and how to effectively manage health information to receive reimbursement. The previous edition was published in 2004.
Purpose: The purpose is to provide current information on documentation to avoid denial of medically necessary physical therapy services. The book highlights common errors that result in denial of skilled physical therapy and describes how to organize the medical record and choose the most appropriate content. The authors meet their objectives, providing a valuable resource on what, how, and why to document.
Audience: It is written for physical therapy professionals at all experience levels. It provides a solid foundation for students as well as review and reflection for more experienced clinicians. In today's healthcare environment, it is imperative that physical therapists document effectively. The authors have selected an extensive group of professionals to contribute the most current knowledge to the book.
Features: The first four chapters summarize the general rules for health information management and the principles, guidelines, and requirements for effective documentation. It then dives into special topics including home health and pediatric documentation, as well as legal issues and utilization review. The chapter outlining Medicare and non-Medicare content principles is well done with multiple case studies, sample problem lists, goals, and treatment notes to enhance learning. Throughout, Author's Notes offer clarifications and exceptions to the rule. Chapters conclude with up-to-date references, essential for this topic, and review questions. The appendixes that follow the chapters serve as a convenient reference for use in the clinic, and include abbreviations, ICD-9 code terms, Medicare and HIPPA forms, and goal writing and documentation content exercises.
Assessment: This is a valuable and practical book for students and experienced clinicians alike. This update is justified due to the dynamic quality of the material. With reimbursement decreasing for skilled physical therapy services, it is imperative that documentation is detailed and accurate about what is billed. I strongly recommend this book for physical therapy programs and as an essential update for all practicing clinicians.