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Clinical Documentation -
Holistic Health Counselor
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Joanne Brown, MS, OT, CHT
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Documentation 209 : Documenting the Assessment: Summary and Diagnosis
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Case Studies, Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Explain the role of physical therapists in establishing and documenting a diagnosis
Describe the elements of the Assessment section of an evaluation report
Appropriately document an Assessment for different case scenarios
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 208 : Documenting Impairments in Body Structure and Function
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Case Studies, Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Define impairments in body structure and function
Appropriately classify impairments into categories for documentation purposes
Document impairments concisely using appropriate terminology and abbreviations
Describe documentation of a systems review
Describe the seven characteristics of documenting pain
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 207 : Documenting Activities
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$18.00 USD
Format(s)
Case Studies, Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Define activities and function
Discuss the factors involved in deciding which activities should be included in physical therapy documentation, including consideration of benchmark activities
Identify and classify various aspects of documenting activities
Appropriately categorize activities of daily living and instrumental activities of daily living
Document activities using a skill-based framework
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 206 : Documenting Reason for Referral: Participation and Social History
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Case Studies, Text
Add To Cart
More Course Information ▶
Educational Objectives
Describe the components of documenting participation, social history, and general health status
Describe the usefulness of standardized outcome measures for documenting participation
Describe the process of conducting an interview to obtain information pertaining to level of participation, social history, and general health status
Document these components with accuracy and specificity
Read and analyze clinical examples emphasized with case examples
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 205 : Documenting Reason for Referral: Health Condition and Participation
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Case Studies, Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Identify and classify various aspects of documenting reason for referral, including a patient’s background information, health condition, medications, past medical history, social history/participation, and prior functional status
Explain the 3 key elements of describing a patient's current health condition
Discuss the implications of direct access for documenting medical diagnoses
Describe the process of conducting an interview to obtain information pertaining to gathering history data
Appropriately document elements of reason for referral based on case scenarios
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 204 : Documentation in Pediatrics
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Describe the laws governing documentation in early intervention and school-based settings in the United States
Identify commonly used standardized assessments in early intervention and school-based settings
Document components of early intervention evaluations and session notes, which are family-centered, child-specific, routines-based, and aligned with the natural environment
Document components of school-based evaluations and session notes, which are child-centered and specific to the school setting
Create goals for a pediatric client based on best practice standards, including making goals child-centered, context-specific and addressing specific tasks or functional activities
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 203 : Documenting the Plan of Care
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Identify and describe the components of documentation of the plan of care
Appropriately document a plan of care as part of an initial evaluation
Discuss the importance of documenting informed consent
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 202 : Developing and Documenting Effective Goals
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Differentiate between goals and outcomes
Describe the important aspects of writing goals at the participation, activity, and impairment levels
Distinguish between short-term and long-term goals
Describe the essential components of a well-written functional goal Identify poorly written goals and make modifications to goals
Appropriately document participation and activity goals for a written report
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
Documentation 201 : Payment Policy and Coding
Credit Hours(s)
1.0
Instructors
Joanne Brown, MS, OT, CHT
Price
$19.00 USD
Format(s)
Downloadable Course in PDF, Text
Add To Cart
More Course Information ▶
Educational Objectives
Provide a brief overview of health care reform and its impact on physical therapy and third-party payers in context of reform environment
Describe Medicare settings that outpatient services are provided in, as well as the characteristic policies and key compliance elements required by Medicare and other third-party payers
Outline Medicare guidelines for documenting skilled therapy services
List the components of documentation for Medicare, including initial evaluations including plan of care, progress notes, session notes, reevaluations, and discharge summaries
Understand basics of functional limitation reporting, physician quality reporting system and diagnosis coding and CPT coding for billing and payment purposes
Summarize guidelines for CPT coding that may facilitate payment for services and minimize payment delays and denials
Approved States/Territories
AL
Alabama
AK
Alaska
AB
Alberta
AS
American Samoa
AZ
Arizona
AR
Arkansas
AE
Armed Forces all AE
AA
Armed Forces Americas
AP
Armed Forces Pacific
BC
British Columbia
CA
California
CO
Colorado
CT
Connecticut
DE
Delaware
DC
District of Columbia
FM
Federated States of Micronesia
FL
Florida
GA
Georgia
GU
Guam
HI
Hawaii
ID
Idaho
IL
Illinois
IN
Indiana
IA
Iowa
KS
Kansas
KY
Kentucky
LA
Louisiana
ME
Maine
MB
Manitoba
MH
Marshall Islands
MD
Maryland
MA
Massachusetts
MI
Michigan
MN
Minnesota
MS
Mississippi
MO
Missouri
MT
Montana
NE
Nebraska
NV
Nevada
NB
New Brunswick
NH
New Hampshire
NJ
New Jersey
NM
New Mexico
NY
New York
NL
Newfoundland and Labrador
NC
North Carolina
ND
North Dakota
MP
Northern Mariana Islands
NT
Northwest Territories
NS
Nova Scotia
NU
Nunavut
OH
Ohio
OK
Oklahoma
ON
Ontario
OR
Oregon
PW
Palau
PA
Pennsylvania
PE
Prince Edward Island
PR
Puerto Rico
QC
Quebec
RI
Rhode Island
SK
Saskatchewan
SC
South Carolina
SD
South Dakota
TN
Tennessee
TX
Texas
UT
Utah
VT
Vermont
VI
Virgin Islands
VA
Virginia
WA
Washington
WV
West Virginia
WI
Wisconsin
WY
Wyoming
YT
Yukon
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