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Documenting Medical Necessity for Psychotherapists

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Psychotherapist Notes

clinical mental health documentation workman's comp

March 23, 2023

Mental Health Documentation for Workman’s Compensation

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

Documenting Medical Necessity,  Progress Notes,  Psychotherapist Notes clinical documentation,  clinical documentation specialist,  mental health documentation,  progress notes,  psychotherapist,  psychotherapy,  therapy,  workman's comp,  workman's compensation

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

why therapists need to be anti-racist

July 21, 2020

Why Therapists Need to Be Anti-Racist

Documentation Wizard stands in solidarity with those who are opposed to the senseless violence and oppression of Black people in this country.  As I witness the horrors of what is happening, I see how it is increasing people's sense of alienation, hopelessness, and helplessness. The 21st … [Read more...] about Why Therapists Need to Be Anti-Racist

Psychotherapist Notes

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

mental health providers should charge for phone calls

February 27, 2020

Can Mental Health Providers Charge For Phone Calls?

Like most answers I give regarding being a mental health therapist and having a private practice, “yes” and “no.” WHY SHOULD MENTAL HEALTH PROFESSIONALS CHARGE FOR PHONE CALLS? Phone calls can take a lot of time and time is what we’re paid for. If you don’t charge for these phone calls, … [Read more...] about Can Mental Health Providers Charge For Phone Calls?

Case Consultation,  Clinical Documentation,  Collateral Consultation,  Documenting Medical Necessity,  Psychotherapist Notes

women reviwing electronic medical record

November 8, 2019

EMRs and EHRs and Online Programs, oh my!

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!

Documenting Medical Necessity,  EHR,  EMR,  Paper Notes,  Progress Notes,  Psychotherapist Notes audits

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 bathroom I 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 … [Read more...] about “I Love Writing Psychotherapy Notes”

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

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