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clinical documentation

mental health documentation insurance audit appeal

January 24, 2023

Winning an Insurance Audit Appeal!

I WON an Overpayment Recoupment for mental health services from Blue Cross Blue Shield! And I’m sharing what I did in case you find yourself dealing with the same thing. I got the dreaded insurance recoupment letter from BCBS saying they overpaid me (over $1700) and demanded their money back. … [Read more...] about Winning an Insurance Audit Appeal!

Clinical Documentation audit,  audits,  clinical documentation,  clinical documentation specialist,  psychotherapist,  psychotherapy,  therapist,  therapy

different forms for documentation as viewed by a therapist

December 30, 2022

What Makes Documentation Wizard® Forms Different? (From All Other Forms)

Remember being a teenager at a high school dance?  You wanted to cut the rug, but you didn’t know how because you were never taught.  If you intuitively knew how to “just dance,” you were golden. Otherwise, you may have either flailed around imitating your friends, or hid in the corner … [Read more...] about What Makes Documentation Wizard® Forms Different? (From All Other Forms)

Clinical Documentation clinical documentation,  clinical documentation specialist,  progress notes,  psychotherapist,  psychotherapy

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, I … [Read more...] about Should I Use a Treatment Planning Book?

Treatment Plan,  Treatment Plans clinical documentation,  clinical documentation specialist,  psychotherapist,  psychotherapy,  therapy,  treatment planning,  treatment planning book,  tx planning,  tx planning book

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

  • Winning an Insurance Audit Appeal!
  • What Makes Documentation Wizard® Forms Different? (From All Other Forms)
  • Overview of Creating and Integrating Forms into Simple Practice

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