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Documentation in Physical Therapy Practice

Member Price: Free
Non-Member Price: $50.00

0.2 CEUs (2 contact hours)

To take this course:
Click below to read the course. (You may want to print it out first.) Then return to this page to take the examination.

Contact Information: Contact your Component Practice Chair or President

CEU Information:
The American Physical Therapy Association has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1620 I St NW, Ste 615, Washington, DC 20006. The American Physical Therapy Association has awarded .2 CEU to participants who successfully complete the program. Provider (#380). The American Physical Therapy Association is recognized by the BOC Board of Certification Inc to offer continuing education for Certified Athletic Trainers. Approved Provider #P1151.

Course Description: This course will provide information on documenting physical therapy care within the domains of practice, regulatory, reimbursement, and risk management and explore the elements of clinical documentation based on the patient/client management model of the Guide to Physical Therapist Practice. The participants will gain practical application on documenting medical necessity, skilled level of care, and progression, and be provided with tips and resources on defensible documentation.

Upon completion of the course, the participant will be able to:

  • Describe typical challenges therapists have in clinical documentation.
  • Identify ways to facilitate efficient and effective documentation skills.
  • Apply the basic components of appropriate clinical documentation according to APTA's Guidelines for Physical Therapy Documentation.
  • Identify the importance of documentation within the realms of clinical practice, risk management, regulatory, compliance, and reimbursement requirements.
  • Define best practices for documenting patient/client care in physical therapy.

Course Developers:

Mary Fran Delaune PT, MPT, is presently the Associate Director, Practice Department for the American Physical Therapy Association (APTA). In this position, she provides consultation to other APTA departments and members, liaisons with various external organizations and contributes to policy development to advance the practice of physical therapy. Previously, she was the Manager of Rehabilitation Services at Anne Arundel Medical Center in Annapolis, Maryland. She earned a BS degree in Health Sciences and a Master of Physical Therapy degree at the University of Sciences in Philadelphia. Her primary areas of clinical expertise are in orthopedics and acute care. Currently, she is a Master of Public Health candidate at the George Washington University.

Anita Bemis-Dougherty, PT, DPT, MAS, received her Bachelor of Science degree in Physical Therapy at The University of Maryland, Masters Degree in Administration from The Johns Hopkins University, and Doctor of Physical Therapy from Widener University. Anita has worked in tertiary, academic medical institutions which included a variety of clinical settings including outpatient, acute care and rehabilitation. Previously, she was the Physical Therapy Manager at the Johns Hopkins Hospital in Baltimore, Maryland. She joined the staff of the American Physical Therapy Association (APTA) in June, 2006 and is currently an Associate Director in the Department of Practice.

Related Files

Resource Documents: www.apta.org/documentation

Related Links
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703/684-APTA (2782) * 800-999-2782 * 703/683-6748 (TDD)
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