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  To Pay or Deny? That is the Question: A guide to best documentation practices

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CEUs: .6 NBCOT®7.5 NEW!
Contact Hours: 6 FL/ AL CE approved: 20-531973

*University & multi-center Licensure available upon request; all courses single user only
*7.5 NBCOT® PDUs
FL and AL CE Broker approved: 20-531973
Domain of OT, Occupational Therapy Process and Professional Issues


Elisa Marks MS, OTR/L, CEAS, CHT


This NEW interactive online book is loaded with what to do and what not to do when documentation is required in an outpatient medical chart. Learn tricks of the trade and how to document successfully . This fabulous documentation course will provide the clinician valuable insights for efficient, concise, and meaningful documentation that meets and exceeds payer guidelines (from private payers to Medicare). The transition to an electronic medical record is explored including pros and cons as related to best practice documentation. With the Affordable Care Act (Obama Care) there are important documentation changes specifically the reporting of functional limitations. The course will cover all aspects of documentation including the Physician Quality Reporting System (PQRS), the Affordable Care Acts "G Codes" as well as the rationales for thorough documentation, regulations regarding documentation with a special emphasis on Medicare guidelines, recommendations for incorporating function into documentation, tips for goal setting, and examples of both rejected and paid documentation. Additional information is provided regarding the changes in maintenance therapy guidelines. The examples will cover all areas of adult occupational therapy practice. A n introductory course and a must have course for every practitioner. Must pass (80%) online exam to redeem your AOTA APP certificate. Instructional Method: Online book: Online book is available for 365 days from date of purchase.

  • Identify several different methods of completing daily documentation
  • Identify necessary components of a thorough evaluation
  • Determine key components of incorporating function into documentation
  • Recognize how to stay abreast of Medicare regulation changes
  • Review current Medicare regulatory requirements
  • Determine functional goals that will meet payer guidelines
  • Distinguish between G code and modifiers
  • Determine functional limitation G code reporting to CMS and how often to report
  • Identify the most common goal categories and goals for G-codes
  • Practice writing notes that will be quick and payable
  • Review how to write an excellent SOAP note
  • Identify electronic documenation do's and don'ts
  • Qty Discount Available with this item. Click Here for details.

    Format Online Interactive Book
    Price $74.99

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    Discounted Add On Item(s) Available with this Product

    Pin - Hand in Heart - Unique Hand Jewelry/Goods $5.00
    Keychains with Bottle Opener - Unique Hand Jewelry/Goods $6.00


    Very thorough course. Helped to know the background as to what Medicare covers and what it doesn't and the history behind it. Everything became a lot clearer about how the G codes work and how to make them fit into your documentation. I was able to take good information back to my clinic, staff and the QA committee for the rest of the company's benefit. It made a complicated topic, straight forward and much more logical (and easier to explain to others!) It is one thing to understand it yourself and a whole other thing to be able to teach it to others which is what most of us Directors have to do. Thank you for another great course. You never disappoint.
    This was a very helpful course for improving my mode of documentation. It further supports how I have been documenting and has helped me be more precise with better information in each section. It has not reduced my volume of information... just improved my organization and inclusion of information. I had previously shared this information when I had finished the course.
    Martha J. Davis, OTR  
    • After purchase is complete please register the course to the participants name and email address where the certificates will be received.
    • Participants have one year to access the CEU course and exam to obtain CEUs.
    • All CEU activities are associated with an online exam to ensure understanding of learner objectives. Once an 80% is achieved a CEU certificate is sent to the email that was used for registering the participant for the CEU course.
    • Course cancellations or refunds are not available once the material or the exam have been accessed.
    • Treatment2go is an AOTA approved provider ID #3397. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
    • NBCOT® is a registered trademark of the National Board for Certification in Occupational Therapy, Inc. and does not promote or endorse our specific courses, services or training.
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