OTAS-1401 — Skls for OT Documentatn I-Lab
This lab-based course introduces the student to the basic concepts of documentation and note writing skills for the occupational therapy assistant. The course will explore various documentation formats, electronic medical records, AOTA guidelines, state licensure law and public health code, third-party reimbursement guidelines and regulations, confidentiality, and the Health Insurance Portability and Accountability Act (HIPAA). Client case studies will be utilized to gain knowledge in OT evaluations, intervention plans, long- and short-term goals/objectives, intervention notes, and discontinuation summaries. Problem Oriented Medical Record (POMR) will be introduced, and intervention note formats will be presented utilizing the OT practice framework. This course focuses on competency-based learning and clinical reasoning for the purpose of identifying OT problems, goals, interventions, and outcomes. (3 billable contact hrs)