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Clinical Documentation

artificial intelligence AI for mental health clinical documentation

June 14, 2023

Can You Use AI for Mental Health Progress Notes?

Can You Use AI for Mental Health Progress Notes? Although AI has been around for quite a few years, it recently burst onto the scene like fireworks and is causing a lot of noise.  Some psychotherapists are already raving about how it cuts down on the time it takes to write their notes and … [Read more...] about Can You Use AI for Mental Health Progress Notes?

AI,  Articicial Intelligence,  Clinical Documentation,  Progress Notes AI,  chatGPT

should I document medications on progress notes - Documentation Wizard

April 20, 2023

Should I Document Medications on Progress Notes?

QUESTION: Should I Document Medications on Progress Notes? I have heard from others, who consider themselves Medicare documentation experts, that it is unnecessary to document anything about psychiatric medication compliance and effectiveness. They advise against it as it is the prescriber's job, … [Read more...] about Should I Document Medications on Progress Notes?

Clinical Documentation,  Progress Notes,  Session Notes clinical documentation,  clinical documentation specialist,  counseling,  medications,  mental health care,  mental health documentation,  progress notes,  psychotherapist,  psychotherapy,  therapist,  therapy

Documentation Wizard mental health clinical documentation expert

February 15, 2023

5 Types of Insurance Reviews

If you’ve ever gotten a letter from a health insurance company and felt your blood pressure spike while you open it, you’re not alone. The fear of being audited can cause as much anxiety as having a suicidal client.  But just like a range in client risk, there is more or less risk involved with … [Read more...] about 5 Types of Insurance Reviews

Clinical Documentation,  Psychotherapist Notes audit,  audits,  clinical documentation,  clinical documentation specialist,  progress notes,  psychotherapist,  psychotherapy,  therapist,  therapy

mental health documentation insurance audit appeal

January 24, 2023

Winning an Insurance Audit Appeal!

I WON an Overpayment Recoupment for mental health services from Blue Cross Blue Shield! And I’m sharing what I did in case you find yourself dealing with the same thing. I got the dreaded insurance recoupment letter from BCBS saying they overpaid me (over $1700) and demanded their money back. … [Read more...] about Winning an Insurance Audit Appeal!

Clinical Documentation audit,  audits,  clinical documentation,  clinical documentation specialist,  psychotherapist,  psychotherapy,  therapist,  therapy

different forms for documentation as viewed by a therapist

December 30, 2022

What Makes Documentation Wizard® Forms Different? (From All Other Forms)

Remember being a teenager at a high school dance?  You wanted to cut the rug, but you didn’t know how because you were never taught.  If you intuitively knew how to “just dance,” you were golden. Otherwise, you may have either flailed around imitating your friends, or hid in the corner … [Read more...] about What Makes Documentation Wizard® Forms Different? (From All Other Forms)

Clinical Documentation clinical documentation,  clinical documentation specialist,  progress notes,  psychotherapist,  psychotherapy

Alert!!

August 10, 2022

ALERT — CareDash and BetterHelp

Watch Your Back If you are a therapist, social worker, counselor, or psychologist, I’d like to call your attention to the fraudulent and unethical business practice of a company called CareDash. CareDash has created a directory of 1000s of therapists and your name might be on it. This may … [Read more...] about ALERT — CareDash and BetterHelp

Clinical Documentation,  Fasle business practice counselor,  psychologist,  psychotherapist,  psychotherapy,  social worker,  therapy

No Surprise Act

January 10, 2022

No Surprise Act May Be a Surprise

No Surprises Act May Be a Surprise Happy New Year! I hope you had a wonderful holiday celebration and got some time to relax and recharge. Because change is here. Effective January 1, 2022, the new NO SURPRISE ACT (NSA) is an unwelcome surprise for many therapists! Very briefly, the … [Read more...] about No Surprise Act May Be a Surprise

Clinical Documentation No Surprise Act,  NSA

documenting treatment changes during covid-19

April 9, 2020

How to Document Changes in Treatment During Covid-19 Without Writing Another Plan

Private practice therapists are expected to write a new treatment plan once a year. What happens when your well thought out plan gets thrown to the wind before it's time for an update? This scenario may be happening right now since the sudden outbreak of the Covid-19 pandemic. Problems, goals, and … [Read more...] about How to Document Changes in Treatment During Covid-19 Without Writing Another Plan

Clinical Documentation,  Covid-19,  Documenting for Covid-19 Pandemic,  Documenting Medical Necessity,  Pandemic,  Psychotherapist Notes,  Session Notes,  Treatment Plans

tele-mental health - providing therapy from home

March 28, 2020

How to Document for Tele-Mental Health During the Covid-19 Pandemic

Adjusting to Telehealth We’re all trying to adjust to a new way of living and providing mental health services. I’m going to help you navigate the needs for tele-mental health documentation during the Corona virus pandemic. Most insurance companies are now finally on board with offering … [Read more...] about How to Document for Tele-Mental Health During the Covid-19 Pandemic

Clinical Documentation,  Documenting Medical Necessity,  Golden Thread,  Passing Audits,  Progress Notes,  Psychotherapist Notes,  Session Notes,  tele-mental health,  Telehealth,  Treatment Plan,  Treatment Plans

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Recent Articles

  • The Ethics of Other People Writing Your Treatment Plan
  • Timely Progress Note Completion in Mental Health Documentation
  • Can You Use AI for Mental Health Progress Notes?

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