The OTA's Guide to Composing SOAP Notes

Written specifically for occupational treatment assistants, The OTA’s Guide to Writing SOAP Notes, Second Edition is updated to consist of brand-new functions and info. This important text consists of the step-by-step guideline required to find out the paperwork needed for repayment in occupational treatment. With the present modifications in health care, appropriate paperwork of customer care is necessary to satisfying legal and ethical requirements for compensation of services. Written in an easy-to-read format, this brand-new edition by Sherry Borcherding and Marie J. Morreale will continue to assist occupational therapy assistants in learning to compose SOAP notes that will be reimbursable under Medicare Part B and managed care for different locations of clinical practice. New Includes in the Second Edition: – Included throughout the text is the Occupational Treatment Practice Structure, in addition to upgraded AOTA documents – More examples of pediatrics, hand treatment, and psychological health – Updated and extra worksheets – Review of grammar/documentation mistakes – Worksheets for figuring out physician orders, as well as broadened worksheets for medical abbreviations – Upgraded details on billing codes, HIPAA, management of health info, medical records, and electronic documentation – Expanded information on the OT procedure for the OTA to fully understand documentation and the OTA’s role in all phases of treatment, consisting of recommendation, examination, intervention plan, and discharge – Documentation of physical representative techniques With restructured and much shorter chapters, The OTA’s Guide to Composing SOAP Notes, Second Edition is the necessary text to offering instruction in composing SOAP notes specifically focused on the OTA practitioner and trainee. This remarkable edition provides both the necessary direction and numerous opportunities to practice, as skills are built on each other in a logical manner. Templates are attended to beginning trainees to utilize in formatting SOAP notes, and the job of documentation is broken down into little systems to make learning much easier. A removable summary sheet is consisted of that can be taken out and carried to clinical sites as a reminder of the needed contents for a SOAP note. “Responses” are attended to all worksheets so that the text can be utilized for independent study if desired. Upgraded details, expanded conversations, and restructured knowing tools make The OTA’s Guide to Composing SOAP Notes, Second Edition an essential for all occupational treatment assistant students! This text is the essential resource needed to master professional paperwork skills in today’s health care environment.

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