Why Body-Doubling Helps Psychotherapists Get Progress Notes DONE!“Exhausting, annoying, demoralizing, and lonely.” This is a common refrain I hear from psychotherapists about documentation. These normal feelings breed avoidance, which leads to falling behind on notes. Behind long enough, it’s easy … [Read more...] about BODY-DOUBLING: Why it Helps Psychotherapists Get Progress Notes DONE!
Mental Health Documentation and Selfcare
Why in the world would anybody put “selfcare” and “documentation” in the same sentence?Because when therapists start feeling overwhelmed and burnt out the very first thing that’s sacrificed are progress notes! Then the inner Critic berates you by saying, “you’re a bad therapist because you’re behind … [Read more...] about Mental Health Documentation and Selfcare
7 Documentation Requirements You Can Apply Right Now
7 Documentation Requirements You Can Apply Right NowHere are some common questions and answers when it comes to mental health documentation requirements.1. Question: Are notes for private pay clients the same as for insurance?Answer:Yes – justifying medical necessity has become the gold standard of … [Read more...] about 7 Documentation Requirements You Can Apply Right Now
Challenges with AI in Progress Notes
Insights into using AI from a Mental Health Therapist and Documentation ExpertIn an era where technology permeates every aspect of our lives, it's no surprise that artificial intelligence (AI) is finding a home in mental health care. One area where AI is gaining greater use is in the creation of … [Read more...] about Challenges with AI in Progress Notes
How to Opt-Out of Medicare and Still Get Paid
Your Guide to Opting Out of Medicare as a Mental Health Provider: and How Medicare Clients Can Get ReimbursedYes, it is possible to see a Medicare client, get your full fee, and for the client to not have to pay for your service. The process isn’t even that difficult. Unlike most things … [Read more...] about How to Opt-Out of Medicare and Still Get Paid
Timely Progress Note Completion in Mental Health Documentation
The most frequently asked question I get in my documentation course is, “What is the deadline for progress note completion? This is a frustrating question because like so many aspects of mental health, there is no definitive answer.Understanding the ConfusionOur professional codes of ethics, … [Read more...] about Timely Progress Note Completion in Mental Health Documentation
Can You Combine the Intake Summary and the Diagnostic Session Note?
QUESTION: Can You Combine the Intake Summary and the Diagnostic Session Note?My EHR combines the Intake Summary and the Diagnostic Session Note and calls it the Intake Session Note. What do you think of combining them?ANSWERI prefer the documents to be separated, but there is no one right … [Read more...] about Can You Combine the Intake Summary and the Diagnostic Session Note?
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, not … [Read more...] about Should I Document Medications on Progress Notes?
Questions & Answers: Audits
Questions & Answers: AuditsTherapists aren’t taught clinical documentation in school, leaving them vulnerable to audits and claw backs. The Documentation Wizard is here to help answer some of the most commonly asked questions about audits so you aren’t caught unprepared. QUESTION 1: Informing … [Read more...] about Questions & Answers: Audits