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Session Notes

how to write tx plans insurance audit therapy notes

February 3, 2022

Questions & Answers: Treatment Plans

Questions & Answers: Treatment Plans Trying to figure out everything you need to know about clinical documentation can make your head spin! The good news is, I’m here to help! In this month’s blog post I answer some of the most commonly asked questions about treatment plans. QUESTION 1: … [Read more...] about Questions & Answers: Treatment Plans

Session Notes

how to document prognosis for mental health

July 13, 2021

How to Document Prognosis for Mental Health

Medicare just added Prognosis to its list of documentation requirements. UGH! One more thing to think about and document. But how? What Is a Prognosis? Prognosis refers to making an educated guess about the expected outcome of treatment. Based on the medical model, it’s a prediction of a … [Read more...] about How to Document Prognosis for Mental Health

Session Notes audit,  clinical documentation,  clinical documentation specialist,  counseling,  diagnosis,  health insurance audit,  medicare,  mental health,  mental health care,  mental health therapist,  prognosis,  psychotherapist,  psychotherapy,  therapist,  therapy

how to survive a health insurance audit for psychotherapists

May 7, 2021

How To Survive A Health Insurance Audit

The Insurance Vultures are Circling Insurance companies have recently been conducting audits, like vultures looking for dinner. Especially Medicare. Fight, flight, freeze, or fawn! An audit letter from a health insurance company is enough to send shock waves through your body and make your … [Read more...] about How To Survive A Health Insurance Audit

Session Notes audit,  counseling,  health insurance,  health insurance audit,  medicare,  psychotherapist,  psychotherapy,  psychotherapy notes,  therapist,  therapy

clinical documentation specialist psychotherapy adjustment disorder

December 2, 2020

Can Adjustment Disorder be Billed for Longer Than 6 Months?

Is it possible to bill insurance for someone who has Adjustment Disorder for longer than 6 months? Will this be a red flag and trigger an audit? As is typical, when it comes to answers for psychotherapy – maybe and maybe not.  To understand the answer to this question, it’s necessary to know … [Read more...] about Can Adjustment Disorder be Billed for Longer Than 6 Months?

Session Notes adjustment disorder,  clinical documentation,  clinical documentation specialist,  documentation,  documentation specialist,  insurance,  psychotherapist,  psychotherapy,  therapy

Documenting Safety Protocols

October 19, 2020

Documenting Safety Protocols for Face-to-Face Psychotherapy Sessions

Documenting Safety Protocols for Face-to-Face Psychotherapy Sessions Most people agree – change creates upset. Despite the restrictions we experience due to the Covid-19 pandemic, change seems constant. This pandemic will not let us rest in what we already know. Every week or so, there’s … [Read more...] about Documenting Safety Protocols for Face-to-Face Psychotherapy Sessions

Covid-19,  Documenting for Covid-19 Pandemic,  Pandemic,  Session 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

Writing discharge summaries

January 27, 2020

Are Discharge Summaries Mandatory?

Do you need to write a discharge summary as a mental health provider? Yes and no. Confusing? Definitely. That’s because the standards are not consistent from one insurance company to the next. Here’s what I can tell you: Discharge Summaries for Medicaid  Medicaid requires … [Read more...] about Are Discharge Summaries Mandatory?

Clinical Documentation,  Discharge Summary,  Documenting Medical Necessity,  Session Notes

Get higher reimbursement rates with hand drawing an upward arrow

June 23, 2019

Use CPT Code 90837 for Higher Reimbursement Rates!

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 time doing. Other professionals charge for their time. We should too. When CPT codes for psychotherapy … [Read more...] about Use CPT Code 90837 for Higher Reimbursement Rates!

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

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