Start Date: March 5, 2018
Expiration Date: December 7, 2018
Sometimes it seems we spend more time documenting than we do providing care. Different payers and different settings have different rules about how and when to document. Keeping it all straight can be a challenge. This course presents the basic rules of documentation that apply in all health care settings as well as specific requirements for Medicare settings. Treatment needs to focus on function and involvement of the client and caregivers, and this needs to be reflected in documentation. Tips for efficient documentation whether on paper or in an electronic health record will be shared. Suggestions for utilizing point of care documentation will be given. Scenarios and examples of documentation for evaluations, treatment plans, progress notes and discharge summaries will be utilized.
This program is offered for 0.20 ASHA CEU’s (Intermediate-Level, Related Area)
- Participants will be able to identify the basic rules of good documentation
- Participants will demonstrate understanding of what payers expect in documentation
- Participants will demonstrate knowledge of the ICF Framework and focus on function in documentation
- Participants will be able to identify errors and omissions in examples of evaluations, treatment plans, progress notes and discharge summaries
Nancy B. Swigert, M.A., CCC, BCS-S, speech-language pathologist, is the former director of Speech-Language Pathology and Respiratory Care at Baptist Health Lexington, an acute care facility in Lexington, KY. As president of Swigert & Assoc., Inc., her consulting company, she continues to teach and write in the areas of dysphagia, coding and reimbursement and documentation. She recently retired from Baptist as the Process Excellence Coordinator and a Certified Green Belt in Lean/Six Sigma in the Outcomes Department at Baptist, where she coached teams in process improvement methodologies. In the mid 90’s, she co-chaired the ASHA Task Force on Treatment Outcomes, which initially developed the National Outcomes Measurement System (NOMS).
She received her master’s degree from the University of Tennessee-Knoxville. She is a former President of the Kentucky Speech-Language-Hearing Association, the Council of State Association Presidents, and was President of the American Speech-Language-Hearing Association in 1998. She received the Honors of ASHA in 2015. She chaired the Health Care Economics Committee for six years and the American Board of Swallowing and Swallowing Disorders from 2012-2014.
Financial - The author received an honorarium from Western Schools for this work.
Nonfinancial - The authors have no other relevant financial or nonfinancial interests to disclose.
- Courses must be completed on or before the expiration date noted in the course description above.
- You must score 75% or higher on the final exam and complete the course evaluation to pass this course to earn ASHA CEUs and/or receive a certificate of completion.
- Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
- See author and peer reviewer tabs for disclosures. All other persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.