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clinical documentation

Taking Progress Notes

September 18, 2021

I’d Rather Clean the Toilet than Write Progress Notes: Making Peace With An Essential Task

I’d Rather Clean the Toilet than Write Progress Notes: Making Peace With An Essential Task Q: I love being a therapist, but I hate writing progress notes and sometimes can’t bring myself to do it. I know it’s risky not to write them. Is there a way to make this task less onerous? A: Every … [Read more...] about I’d Rather Clean the Toilet than Write Progress Notes: Making Peace With An Essential Task

Documenting Medical Necessity audits,  clinical documentation,  clinical documentation specialist,  progress notes,  psychotherapist

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

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

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Recent Articles

  • Questions & Answers: Treatment Plans
  • No Surprise Act May Be a Surprise
  • I’d Rather Clean the Toilet than Write Progress Notes: Making Peace With An Essential Task

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