Documentation and Reimbursement for Long-Term Care

by Ella James

James, who is director of corporate health information management for a hospital in Connecticut, explains the purpose and content of each document placed in a resident's health file to record the care and services provided. Separate chapters discuss the admission process, the resident assessment instrument, the care plan, Medicare requirements, physician orders, medication records, flow sheets, and coding issues. The CD-ROM contains regulations and standards, audit tools, inappropriate abbreviation listings, legal documentation standards, a complete chart order policy, and a sample long-term care record. Annotation ©2004 Book News, Inc., Portland, OR

381 pages, Paperback

First published May 1, 2004