Skilled Terminology & Phrases
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In OT documenting patient care is as crucial as the treatment itself.
Documentation requirement are to demonstrate (1) medically necessary and (2) skilled service being provided.
Effective documentation in OT not only ensures compliance and proper reimbursement but also serves as a vital communication tool among healthcare providers.
To help therapists improve their documentation the following PDF highlights skilled terminology and skilled terminology phrases to emphasize the importance of skilled and patient centered notes.