PPT-Effective Documentation

TIPS ON WRITING GOOD NOTES What is Meant by good notes 1 just the facts 2 observations re appearance body language environment 3 if you draw a conclusion the notes should substantiate it with facts. Day, Egusquiza, President. AR Systems, Inc . Lori Rathbun, VP Finance. Mercy Network, IA. . 1. Why have Clinical Documentation Improvement?. A consistent ‘set of eyes’ on the record . Concurrent review, with direct feedback-fragmented. Data Dictionaries. 1. Prerequisites. Recommended modules to complete before viewing this module. 1. Introduction to the NLTS2 Training Modules. 2. NLTS2 Study Overview. 3. NLTS2 Study Design and Sampling. Presenter’s . Name • Date. 2. Introduction. The . goal of . good documentation is to create a record of employment, including facts of incidences and the steps and actions by the employer in an employment matter. Effective documentation serves as an aid to future managers and HR professionals for historical perspective, audits, and legal claims.. For Charter Educators . Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. The Objectives of Effective Documentation. The primary objective for creating effective employee documentation is to:. Laura Triplett, Director, HIM. Roseann Kilby, Clinical Informatics Analyst. Becky Crane, Clinical Risk Manager. 367 Bed Community Health System in Quincy, Illinois . 2,000 Employees. 240+ Physicians. Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. Overview. Documentation of personnel concerns. Employment Law Overview. Documentation Best Practices. Why Document Personnel Concerns?. Provide the employee with fair feedback on his/her performance;. Process . Agenda. Updated Guidelines for Reimbursement. FCR / Claims for Payment. Supporting Documentation . Summary of Changes. Repayment of advance. Dates to remember. FCR / Claims for Payment. Fiscal Cost Report . Documentation tells a story. Quality documentation tells a story that everyone can understand. What does your documentation say about you? . Financial implications. Documentation is a receipt, warranty and guarantee for payments received.. Documentation Log. Assignments Note Taking. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. http://www.fmtusd.org/Page/8774. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. For Charter Educators . Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. The Objectives of Effective Documentation. The primary objective for creating effective employee documentation is to:. \"Publisher\'s Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Everything the physical therapists needs to know about the documentation process in one clear, concise, easy-to-follow textEffective Documentation for Physical Therapy Professionals is your best choice for gaining a solid understanding of the entire physical therapy documentation process. There is no faster or easier way to learn the when, what, and how of physical therapy documentation than this trusted guide. The second edition has been updated to include the most recent professional guidelines, codes, and methodologies and covers timely subjects such as Medicare, electronic record keeping, legal issues, pediatric documentation, utilization review and management, and much more.With Effective Documentation for Physical Therapy Professionals, you will learn how to incorporate all of the general principles of documentation and health information management in order to effectively maintain and organize records, record appropriate information, and receive proper reimbursement based on the documentation content.Master All Aspects of PT Documentation With: APTA Standards and Guidelines, Medicare, Home Health, Electronic Record Keeping, ICF Model and Application, Pediatrics, Legal Issues, Utilization Review & Management, SNF: RUGS and MDS, Sample Documentation Content, Initial Examination and Evaluation Criteria, Continuum of Care Content and Goal Writing Exercises, Documentation Aspects of Supervising PTAs, Abbreviations, Reimbursement, ICD9 and CPT Codes and Application, Chapter Review Questions, Content Principles.\" Emergency Services. Amber Sterling, RN, BSN, CCDS. Director, CDI Auditing Services. TrustHCS. Springfield, MO. Learning Objectives. At the completion of this educational activity, the learner will be able to:. onditions in the. Newborn Nursery. J. Douglas Campbell MD. Physician Advisor. Clinical Documentation Integrity. Wolfson Children’s Hospital. BCBS ( Commercial payers). Staywell. (Medicaid). $. Why . When clinically relevant, please include the specificity outlined below. Type:. Mild intermittent. Mild persistent. Acute Exacerbation. Status Asthmaticus. Moderate persistent. Acute Exacerbation. Status Asthmaticus.