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clinical documentation

Discharge Summary blanks with lighting

September 30, 2025

Why Your Discharge Summary Matters (More Than You May Think)

A therapist recently called me in a panic. She had gotten an audit letter for a client she discharged over 6 months ago. She wanted to know if an insurance company can do an audit on a client she no longer sees. Yes, they can, and they do. The instructions in the audit letter were clear. She … [Read more...] about Why Your Discharge Summary Matters (More Than You May Think)

Clinical Documentation audits,  clinical documentation,  discharge planning,  discharge summary,  golden thread,  liability protection,  psychotherapy notes,  risk management,  termination

mental health documentation tx planning books

July 8, 2022

Should I Use a Treatment Planning Book?

Should I Use a Treatment Planning Book? Like many answers to questions about mental health, the answer to this common question on whether or not you should use a treatment planning book is a bit more complicated than a simple yes or no. When discussing treatment plans during my trainings, … [Read more...] about Should I Use a Treatment Planning Book?

Documenting Mental Health best practices,  clinical documentation,  resources,  treatment plans,  tx planning

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Email: bethrontal@documentationwizard.com

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Recent Articles

  • Why Your Discharge Summary Matters (More Than You May Think)
  • When You’re Just as Triggered as Your Client: Staying Grounded in a Polarized World
  • Why Your Mental Status Exam Needs a Cultural Lens (And How to Add One)

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