Course Description: This 4 hour course will break down the need for exceptional documentation, which is for more than insurance reimbursement, and illustrate how this can be accomplished in very little time. By documenting properly, health care professionals can show the world who we are and what we do, and how effective musculoskeletal treatment is. Dr. Gregg Friedman 32 years in practice, teaching documentation for 2 decades, record reviews/IMEs will discuss how to use various guidelines and regulations to support health care professionals. Course Objectives: Hour 1 1. Illustrate four effects of good documentation. 2. Illustrate the problems with documentation. 3. Define the Problem Oriented Medical Record POMR. 4. Demonstrate taking a complete patient history. 5. Ethics Hour 2 1. Define the Evaluation and Management Examination for the musculoskeletal system. 2. Define the concept of outcome assessments in clinical practice. 3. Describe the P.A.R.T. format of documentation. 4. Develop a strategy to determine if treatment is justified. 5. Patient Records Hour 3 1. Determining the Need for Care with Outcome Assessments 2. Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter. 3. Integrate the POMR and P.A.R.T. formats for subsequent patient encounters. 4. Define proper Assessments. 5. Illustrate the two types of Plan. 6. Advertising Hour 4 1. Documenting Assessment 2. Documenting Complicating Factors 3. Documenting Treatment Plan and Goals 4. Risk Management/Sexual Boundaries Course Description: This 4 hour course will break down the need for exceptional documentation, which is for more than insurance reimbursement, and illustrate how this can be accomplished in very little time. By documenting properly, health care professionals can show the world who we are and what we do, and how effective musculoskeletal treatment is. Dr. Gregg Friedman 32 years in practice, teaching documentation for 2 decades, record reviews/IMEs will discuss how to use various guidelines and regulations to support health care professionals. Course Objectives: Hour 1 1. Illustrate four effects of good documentation. 2. Illustrate the problems with documentation. 3. Define the Problem Oriented Medical Record POMR. 4. Demonstrate taking a complete patient history. 5. Ethics Hour 2 1. Define the Evaluation and Management Examination for the musculoskeletal system. 2. Define the concept of outcome assessments in clinical practice. 3. Describe the P.A.R.T. format of documentation. 4. Develop a strategy to determine if treatment is justified. 5. Patient Records Hour 3 1. Determining the Need for Care with Outcome Assessments 2. Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter. 3. Integrate the POMR and P.A.R.T. formats for subsequent patient encounters. 4. Define proper Assessments. 5. Illustrate the two types of Plan. 6. Advertising Hour 4 1. Documenting Assessment 2. Documenting Complicating Factors 3. Documenting Treatment Plan and Goals 4. Risk Management/Sexual Boundaries
