Documentation: How to Show Skill, Progress, and Necessity

About this Certificate Program

Spend five hours with Dr. Carole Lewis as she explains and demonstrates succinct documentation skills for everyday note writing. This course will cover initial, progress, daily, and discharge notes and ways to make them skilled and show progress and medical necessity. This is an active course. You will see Dr. Lewis work with a patient and show how to document the patient’s case. In addition, you will learn about the best ways to write quick but comprehensive notes.

Target audience

Physical therapists, occupational therapists, physical therapist assistants, and occupational therapist assistants

Goals & objectives

• Design complete initial and discharge evaluations

• Describe several key terms that show skill

• Compare and contrast good notes with bad notes

• Explain how to document medical necessity

• Analyze the components of good note writing