Course curriculum

  • 1

    About this Course: Start Here

  • 2

    Introduction

    • Introduction - [Title]

    • Introduction - [Video]

    • Introduction
  • 3

    Four Reasons Why Documentation is Important

    • Documentation: Why It's Important - [Video]

    • Overview

    • Four Reasons Why Documentation is Important

    • 1. Client Health and Welfare

    • Client Health and Welfare, Cont.

    • 2. Medical Record-Keeping

    • 3. Legal

    • 4. Financial
  • 4

    Documentation Errors

    • Documentation Errors - [Title]

    • Types of Documentation Errors

    • Abbreviation and Handwriting Errors

    • Failure to Correct Documentation Errors

    • Lack of Documentation

    • Subjective Documentation

    • *Wrong Chart

    • No Documentation

    • Documenting at the Wrong Time
  • 5

    Documenting--The Right Way

    • Documenting the Right Way - [Title]

    • Documenting the Right Way - [Video]

    • Overview

    • Accurate

    • Objective

    • Complete

    • Timely

  • 6

    Documentation and HIPAA

    • Documentation and HIPAA - [Title]

    • Documentation and HIPAA - [Video]

    • HIPAA: Overview

    • What is the HIPAA Privacy Rule?

    • What is the HIPAA Security Rule?

    • HIPAA, CNAs and Privacy and Security

    • Privacy

    • Security
  • 7

    Documenting Activities of Daily Living

    • Documenting Activities of Daily Living - [Title]

    • Documenting Activities of Daily Living: Overview

    • Activities of Daily Living

    • Approved Codes for ADLs

    • 1. Bed Mobility

    • 2. Dressing

    • 3. Eating

    • 4. Locomotion on the Unit

    • 5. Locomotion Off the Unit

    • 6. Personal Hygiene

    • 7. Toilet Use

    • 8. Transfers

    • 9. Walk in the Corridor

    • 10. Walk in the Room
  • 8

    Course Summary and Quiz

    • Course Summary

    • Course Quiz

    • Course Evaluation Instructions

    • Evaluation: We value your feedback

    • References

    • CMS Coding for Documentation Handout