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?
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!
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!
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”
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 … [Read more...] about How to Document “Low Self-Esteem”
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?
A therapist recently asked me how to handle a request from the Social Security Administration for the medical records of a client she hadn’t seen in several months and only for two sessions. The request was accompanied by a signed release so it was legitimate. Not having access to the client’s … [Read more...] about When a Client Wants SSI or SSDI
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