Documentation
Documentation is a valuable part of the occupational therapy process and helps to showcase the distinct value of occupational therapy. Review these best practices for documentation to help you provide quality care, increase reimbursement, decrease denied claims, and articulate the distinct value of occupational therapy.
Write Better, Not More
Learn how to be more effective with documentation using the tips outlined in, Maximizing Your Clinical Documentation, and a Q & A with the author Cathy Brennan, MA, OTR/L, FAOTA.
Documentation resources
Occupational therapy documentation reflects the nature of services provided, shows the clinical reasoning of the occupational therapy practitioner, and provides enough information to ensure that services are delivered in a safe and effective manner. Documentation describes the depth and breadth of services provided to meet the complexity of client needs and responses to occupational therapy services at the individual, group (community), or population levels.
AOTA's occupational profile template and examples
Standardized tests and screening tools
Section GG- Medicare self-care and mobility measures
AOTA Continuing Education
Earn continuing education while you improve your documentation skills through AOTA's Detailing Documentation Webinar Series.
Articles and books
Expand your documentation knowledge with the latest research, perspectives, and solutions from occupational therapy practitioners.
WHEW: An Efficient and Effective Note-Writing Technique
Occupational Therapy Manager, 6th Edition
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Related resources
Review and utilize AOTA resources and official documents to guide decision-making when completing documentation.