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.