Documentation expert Cathy Brennan will review the ins and outs of proper documentation, including understanding the components of skilled therapy and documenting the evaluation, intervention, plan of care, and functional outcome goals.
- Identify the content to be included in OT evaluations, plans of care, intervention notes, progress reports, and discharge summaries, including the components of functional goals.
- Identify skilled therapy statements to support medical necessity and skilled intervention.
- Identify pitfalls in documentation that could result in nonpayment for service.
Documenting medical necessity, components of skilled therapy, documenting the evaluation and intervention, plan of care, functional outcome goals, progress reports, discharge summary
Cathy Brennan, MA, OTR/L, FAOTA, Consultant & Peer Review Coordinator for MOTA, St. Paul, MN; Monica Wright, MHA, CPC, CPMA, CPCO, Manager, Coding and Payment Policy; Julie Lenhardt, Manager, Reimbursement and Regulatory Policy, both from the American Occupational Therapy Association, North Bethesda, MD