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Documenting Medical Necessity for Psychotherapists

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documentation

Crisis Intervention green typewriter with the word "crisis" typed on a piece of paper, header for documenting crisis management by Beth Rontal, Documentation Wizard

August 17, 2024

Documenting Crisis Management – HELP!

From Chaos to Calm: Effective Crisis Intervention Strategies Naomi Golan, the creator of the Golan Model of Crisis Intervention (1978), describes a crisis as a person who faces a situation in which they feel so overwhelmed they go from a state of “balance to imbalance, and ultimately back … [Read more...] about Documenting Crisis Management – HELP!

Passing Audits crisis intervention,  documentation,  ethics,  risk assessment

clinical mental health documentation workman's comp

March 23, 2023

Mental Health Documentation for Worker’s Compensation

Mental Health Documentation for Worker’s Compensation A therapist recently asked me how to document for a Worker’s Compensation claim.  Some companies will accept a summary of treatment.  Most will want the client’s full record.  That will include the Diagnostic Assessment, Treatment … [Read more...] about Mental Health Documentation for Worker’s Compensation

Health Insurance (including billing) documentation,  records request,  summaries,  workers' compensation

insurance audit therapist

June 6, 2022

Questions & Answers: Audits

Questions & Answers: Audits Therapists aren’t taught clinical documentation in school, leaving them vulnerable to audits and claw backs. The Documentation Wizard is here to help answer some of the most commonly asked questions about audits so you aren’t caught … [Read more...] about Questions & Answers: Audits

Passing Audits audits,  compliance,  documentation,  insurance

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

Passing Audits appeals,  audits,  compliance,  documentation,  insurance,  medical necessity

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?

Health Insurance (including billing) adjustment disorder,  billing duration,  documentation,  DSM-5,  insurance audit,  medical necessity

SSI Computer with application for Disability Insurance

June 29, 2016

When a Client Wants SSI or SSDI

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 … [Read more...] about When a Client Wants SSI or SSDI

Health Insurance (including billing) documentation,  records request,  releases,  SSDI,  SSI

couples counseling

May 17, 2016

How to Diagnose for Couple’s Counseling

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; Essential … [Read more...] about How to Diagnose for Couple’s Counseling

Documenting Mental Health adjustment disorder,  couple’s counseling,  diagnosis,  documentation,  ethics,  ICD-10,  medical necessity

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Email: bethrontal@documentationwizard.com

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