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Documenting Medical Necessity for Psychotherapists

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Passing Audits

In an uncertain world, Therapist protecting her client's privacy

March 15, 2025

Mental Health Documentation in an Uncertain World

Ethical Considerations for Psychotherapists In today’s rapidly shifting social and political landscape, therapists are navigating new challenges when it comes to documentation. Many clinicians find themselves balancing truthful and ethical documentation with the increased need to protect client … [Read more...] about Mental Health Documentation in an Uncertain World

Clinical Documentation,  Diagnosis,  Documenting Medical Necessity,  Medcare,  Passing Audits,  Progress Notes,  Psychotherapist Notes

tele-mental health - providing therapy from home

March 28, 2020

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

Adjusting to TelehealthWe’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 tele-mental … [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

Get higher reimbursement rates with hand drawing an upward arrow

June 23, 2019

Documenting Mental Health CPT Code 90837

Many therapists provide a 60 minute session but afraid of triggering an audit, they do not bill for it. We love our work but unless we are independently wealthy, we need to be paid to do it. We don’t get paid for providing psychotherapy. We get paid for our time. Psychotherapy is what we spend our … [Read more...] about Documenting Mental Health CPT Code 90837

Clinical Documentation,  CPT code 90837,  CPT Codes,  Documenting Medical Necessity,  Passing Audits,  Psychotherapist Notes,  Session Notes

writing psychotherapy notes

June 13, 2019

“I Love Writing Psychotherapy Notes”

If you ... experience doing your notes as a never-ending and tedious task, find it clinically irrelevant, andwould rather clean the bathroomI get it! You...don't know what or how much to write.resent the time it takes.wonder how to maintain client confidentiality.worry about legal issueslose sleep … [Read more...] about “I Love Writing Psychotherapy Notes”

Clinical Documentation,  Documenting Medical Necessity,  Passing Audits,  Psychotherapist Notes audits,  golden thread,  progress notes

documenting low self-esteemwith young women looking into a broken mirror

December 4, 2018

How to Document “Low Self-Esteem”

Esther Perel's definition of self-esteem is, "Seeing yourself as a flawed person, and still holding yourself in high regard." It's a common occurrence that clients come to treatment feeling broken and hopeless, reporting low self-esteem, and not believing they will ever be able to hold themselves in … [Read more...] about How to Document “Low Self-Esteem”

Clinical Documentation,  Documenting Medical Necessity,  documenting self-esteem,  Passing Audits,  Psychotherapist Notes,  Self-esteem

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Email: bethrontal@documentationwizard.com

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Recent Articles

  • Mental Health Documentation in an Uncertain World
  • Medicare and Telehealth Coverage: Clearing Up the Confusion
  • Essential Admin Forms for Therapists: Stay Legal, Ethical, and Protected

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