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?
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?
Mental Health Documentation for Workman’s Compensation A therapist recently asked me how to document for a Workman’s Compensation claim. Some companies will accept a summary of treatment. Most will want the client’s full record. That will include the Diagnostic Assessment, … [Read more...] about Mental Health Documentation for Workman’s Compensation
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
Do psychotherapists need to use EMRs or EHRs for writing clinical notes? The short answer is, “no.” Not yet. And maybe-not-ever. There are other (better) tools psychotherapists can use for writing clinical notes and documenting medical necessity. Really? Yes! To understand the … [Read more...] about EMRs and EHRs and Online Programs, oh my!
Yes! Documentation has always been a standard in our profession so it's required. And here are other good reasons why. Even if you do not take insurance, if you see a client who has out-of-network benefits and uses a PPO, you can still be audited. This means you still have to justify medical … [Read more...] about I Don’t Take Insurance. Do I Still Need to Write Treatment Plans and Progress Notes?
Many couples presenting for couple’s counseling do not fit into a billable diagnostic category. How do I write a treatment plan and session notes -- or bill the insurance company if I don’t have a diagnosis? I’ve been getting a version of this question in my workshops, Misery or Mastery; … [Read more...] about How to Diagnose for Couple’s Counseling