000			02447cam a2200289 4500
001			1617110825
008			151214t2013 xxu||||| |||| 00| 0 eng d
020			_a1617110825
100			_aMorreale, Marie J.
245		4	_aThe OTA's guide to documentation : writing SOAP notes
250			_a3rd ed.
260			_aThorofare, NJ : _bSLACK _cc2013
300			_a225 p. : ill. ; 28 cm.
500			_aOccupational therapy assistant's guide to documentation
500			_aRev. ed. of: The OTA's guide to writing SOAP notes. 2nd ed. 2007.
500			_aOTA's guide to writing SOAP notes."
505			_aDocumenting the occupational therapy process -- The health record -- Billing and reimbursement -- Using medical terminology -- Avoiding common documentation mistakes -- Writing the ""S"" subjective -- Writing the ""O"" objective -- Tips for writing a better ""O"" -- Writing the ""A"" assessment -- Writing the ""P"" plan -- Documenting special situations -- Improving observation skills and refining your note -- Making good notes even better -- Evaluation and intervention planning -- Goals and interventions -- Documenting different stages of treatment -- Documentation in different practice settings -- Examples of different kinds of notes.
520			_a""This text teaches the SOAP notes format reimbursable by Medicare Part B and other third-party payers. Other topics include a review of spelling and grammar, an overview of the initial evaluation process delineating the roles of the occupational therapist and the occupational therapy assistant, tips for clinical reasoning, and guidelines for selecting appropriate interventions. Templates allow beginning students to practice formatting SOAP notes, and a detachable summary sheet can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. Multiple worksheets are provided for practice in developing observation skills, clinical reasoning, documentation skills, and a repertoire of professional language. All worksheets are also available online with answers included to enable independent study.""-- Back cover.
520			_aIncludes bibliographical references and index.
650			_aPractice of Medicine
690			_aOccupational therapy assistants
690			_aMedical records
690			_aOccupational Therapy-methods
690			_aDocumentation-methods
690			_aMedical Records
700			_aBorcherding, Sherry
999			_c83823 _d83823