Which statement is most true regarding documentation of skilled services?
A. Documentation of skilled services does not necessarily reflect the therapeutic ra-tionale underlying the task performed.
B. Terminology reflecting skilled services includes words such as observe, help, and maintain.
C. Skilled services can be performed safely and/or effectively only by a qualified therapist or under the supervision of a qualified therapist.
D. Progress reports do not have to describe the type of skilled interventions that were provided.
ANS: C
Documentation of skilled services includes a description of the type and complexity of the ther-apeutic activity and must reflect the therapeutic rationale underlying the task. Terminology re-flecting skilled services includes words such as assess, analyze, interpret, modify, facilitate, inhib-it, instruct, fabricate, design, adapt, modify, determine, and establish. Skilled services have a level of inherent complexity such that they can be performed safely and/or effectively only by a quali-fied therapist or under his or her general supervision. Regardless of the format used, progress re-ports should identify the type of skilled interventions provided by the occupational therapist.
You might also like to view...
Which of the following is NOT a benefit of physical fitness?
A) Increased irritability B) Improved self-image C) Enhanced quality of life D) Maintenance of motor skills
TB has developed multi-resistant strains and has a high mortality rate
Indicate whether the statement is true or false
A patient with systemic symptoms, but with normal blood pressure, pulse, and respirations, would be considered to be having which type of allergic reaction?
A. Mild B. Moderate C. Severe D. None of the above
Provider offices and outpatient health care settings use __________ to code procedures and services
a. CPT b. DSM-5 c. ICD-10-CM d. ICD-10-PCS