OTAC 1240 Documentation for the OTA

Description

Documentation for the OTA examines the intricacies of writing effective OT notes for describing patient care. Students demonstrate appropriate use of SOAP notes, therapeutic coding and billing practices, and professional responsibilities associated with documentation.

Credits

2

Prerequisite

OTAC 1110 and ENGL 1101

Corequisite

None

Topics to be Covered

1. Documentation practices

2. Professional responsibilities

3. Effective writing skills

4. Coding and billing practices

Learning Outcomes

1.  B.2.10. Ethics and Professional Interactions 

Demonstrate knowledge of the current published American Occupational Therapy Association (AOTA) Occupational Therapy Code of Ethics and AOTA Standards of Practice and use them as a guide for ethical decision making in professional interactions, client interventions, employment settings, and when confronted with personal and organizational ethical conflicts.  

2.  B.3.18. Technology in Practice (Mastery Level) 

Demonstrate knowledge of the use of technology in practice, which must include electronic documentation systems, virtual environments, and telehealth technology. 

3.  B.4.3. Documentation of Services (Mastery Level) 

Demonstrate knowledge of the various reimbursement systems and funding mechanisms (e.g., federal, state, local, third party, private payer), appeals mechanisms, treatment/diagnosis codes (e.g., CPT®, ICD, DSM® codes), and durable medical equipment coding (e.g., equipment justifications) that affect consumers and the practice of occupational therapy. Documentation must effectively communicate the need and rationale for occupational therapy services. 

Credit Details

Lecture: 2

Lab: 0

OJT: 0

MnTC Goal Area(s): None