The Clinical Documentation Sourcebook
Title | The Clinical Documentation Sourcebook PDF eBook |
Author | Donald E. Wiger |
Publisher | John Wiley & Sons |
Pages | 338 |
Release | 2010-02-02 |
Genre | Psychology |
ISBN | 0470527781 |
All the forms, handouts, and records mental health professionals need to meet documentation requirements–fully revised and updated The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice. The Fourth Edition offers: Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations A new chapter covering the most current format on screening information for referral sources Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.
Primary Documents
Title | Primary Documents PDF eBook |
Author | Laura J. Hoptman |
Publisher | The Museum of Modern Art |
Pages | 384 |
Release | 2002 |
Genre | Architecture |
ISBN | 9780262083133 |
This text presents documents drawn from the artistic archives of Eastern and Central Europe during the second half of the 20th century.
The Addiction Counselor's Documentation Sourcebook
Title | The Addiction Counselor's Documentation Sourcebook PDF eBook |
Author | James R. Finley |
Publisher | John Wiley & Sons |
Pages | 256 |
Release | 2005-05-13 |
Genre | Psychology |
ISBN | 0471713112 |
All of the requisite forms addiction treatment professionalsneed—a crucial time-saver in today's healthcare system Treating addiction in today's healthcare environment means thatmental health professionals must manage an imposing amount ofpaperwork. Government and private grant funding, insurance andbenefits programs, regulatory compliance, and the need for data ontreatment effectiveness (evidence-based treatment) all requireproper documentation. If these forms are missing, the results canrange from bureaucratic headaches to problems serious enough toclose a practice. Now fully updated and revised, The Addiction Counselor'sDocumentation Sourcebook: The Complete Paperwork Resource forTreating Clients with Addictions, Second Edition provides themost useful and current forms for accurate and comprehensivedocumentation and record keeping. These ready-to-use forms willsave you and your practice hours that would otherwise be spentcreating and collating them, freeing you to devote more energy tothe important matters of treatment. A companion CD-ROM includes alldocuments in Word? format so you can customize them according tothe unique needs of your practice. Covering every aspect of mental health practice for addictiontreatment, this fully revised Second Edition also includes: Critical forms updated to help providers achieve HIPAA, JCAHO,and CARF compliance Unique handouts, exercises, and facilitator guides for use inindividual and group therapy A comprehensive CD-ROM featuring all forms in Word format, aswell as PowerPoint slideshows for every psychoeducationalpresentation in the book The Addiction Counselor's Documentation Sourcebook, SecondEdition is an essential timesaving resource that allows anyprofessional practicing or working in the field of addictiontreatment the freedom to give more of their time and energy to thepeople they serve.
A Source Book for Mediæval History
Title | A Source Book for Mediæval History PDF eBook |
Author | Oliver J. Thatcher |
Publisher | Good Press |
Pages | 512 |
Release | 2019-11-22 |
Genre | History |
ISBN |
A Source Book for Mediæval History is a scholarly piece by Oliver J. Thatcher. It covers all major historical events and leaders from the Germania of Tacitus in the 1st century to the decrees of the Hanseatic League in the 13th century.
A Source Book in Theatrical History
Title | A Source Book in Theatrical History PDF eBook |
Author | A. M. Nagler |
Publisher | Courier Corporation |
Pages | 642 |
Release | 2013-04-09 |
Genre | Performing Arts |
ISBN | 0486315541 |
An annotated collection of more than 300 unusually interesting and detailed passages includes views by observers from ancient Greece to modern times on acting, directing, make-up, costuming, props, much more.
Clinical Documentation Reference Guide - First Edition
Title | Clinical Documentation Reference Guide - First Edition PDF eBook |
Author | AAPC |
Publisher | AAPC |
Pages | 13 |
Release | 2020-03-12 |
Genre | Medical |
ISBN | 1626889791 |
It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.
Guide to Clinical Documentation
Title | Guide to Clinical Documentation PDF eBook |
Author | Debra Sullivan |
Publisher | F.A. Davis |
Pages | 301 |
Release | 2011-12-22 |
Genre | Medical |
ISBN | 0803629974 |
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.