Since documentation time is not reimbursable, we have to also be efficient, all while actually producing therapy notes that are defensible and complete. 97165 - occupational therapy evaluation - 1 unit. Occupational Therapy Assistants Do's and Don'ts of Documentation: Tips From OT Managers Doing rewarding work with clients—helping people to lead more meaningful lives—comes with a less fun aspect of the job: documenting those moments. Occupational therapists and occupational therapy assistants1determine the appropriate type of documentation structure and then record the services provided within their scope of practice. The key to reimbursement is ensuring that you and your organization develop quality documentation procedures. I recognize that defensible documentation is an ever-evolving art and science, and have come across many useful resources that will help you keep your notes complete, yet concise. Occupational therapists and occupational therapy assistants1 determine the appropriate type of documentation structure and then record the services provided within their scope of practice. Documentation of occupational therapy services is necessary whenever professional services are provided to a client. Defensible Documentation in the Acute Rehabilitation Setting $ 40.00. Defensible Documentation - MiOTA Documentation of occupational therapy services is necessary whenever professional services are provided to a client. I … You have remained in right site to start getting this info. 7 Principles for Improving your Pediatric OT Documentation & SOAP Notes. 1. Occupational therapy documentation provides a record of the practitioner’s ac-tivity in the areas of screening, evaluation and reevaluation, intervention, and outcomes (AOTA, 2014b) in accordance with practice guidelines and payer, facility, and state and federal guidelines and requirements. Course Description Today’s healthcare reimbursement process presents challenges to both physical therapists & occupational therapists. ... Occupational Therapy The Shirley Ryan AbilityLab is an approved provider for the American Occupational Therapy Association to offer continuing education in occupational therapy. typically receive therapy DEFENSIBLE DOCUMENTATION Key Elements of Assessment Information “Assessment” • World Dictionary: “to judge the worth, importance, etc., of; evaluate” • Synonyms: appraise, determine, check, gauge, judge, weigh, apprise • Is a critical element for demonstrating the Create daily notes with a consistent structure and flow Physical and Occupational Therapy Documentation Page 3 of 4 Visit/Daily Treatment WSI requires documentation for every visit, which may be in the ... American Journal of Occupational Therapy, 68, S1–S48. 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