Before and After
What comes before an ot evaluation for clients with a possible need for an OT evaluation?
True or false – an OTR has to sign off on all notes for an OTA, always
False - it depends on state regulations. in CA - the OTR does not.
These two documentation systems are the most widely used in acute care?
Cerner and Epic
What is one major documentation system?
EPIC
If your client has Medicare how many days does your plan of care need to be signed by the physician or NPP
True or false – an OTA and OTR can cotreat
True - as long as it is documented correctly
What are the three rules of HIPAA that pertain to documentation?
The privacy act, the security rule, and the breach rule
How often should a progress note be written?
Before a 10th visit.
What two things need to be documented before an intervention can take place?
Evaluation and Plan of Care
True or false – the OT and OTA use the same care plan
What is the most strict insurance type in terms of reimbursement?
Medicare
What does EPHI stand for?
Electronic personal health information