Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice

“I love paperwork!”.–Said NO clinician, EVERYet, the success of your practice depends on your ability to write good intake summaries, treatment plans, session notes, case/collateral notes, and discharge summaries. Taken together, these pieces to the documentation puzzle support your goal of providing quality services to your clients. They also impact the stability and success of your practice. When done well, they result in piece of mind and timely payment from insurance companies. When done poorly, they lead to the misery of denials, audits, and lost income.The great news is that you CAN become proficient at mental health documentation and medical necessity. This seminar provides clear and simple guidelines for recordkeeping that adheres to professional standards and ethical codes, supports delivery of quality care, and reduces errors and delays in payments.You will receive expert instruction from Beth Rontal, LICSW, affectionally known as the Documentation Wizard. For over 15 years, Beth has been instrumental at changing how individuals and organizations approach documentation. The results speak for themselves. Rates at which paperwork was returned to clinicians for correction have dropped significantly, in one case from 65% to under 8%. This gave clinicians back 3 to 5 clinical hours per week, saving thousands of dollars and improving job satisfaction.Determine the importance of proper documentation in informing clinical decision-making.Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients.Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients.Assess how to document what really happens in a clinical session without violating privacy or confidentiality.Assess medical necessity by employing the “golden thread” for improved treatment outcomes.Analyze potential red flags in documentation and the proper corrective measures for themGet Past Your Negative Feelings About DocumentationDocumentation as a contributor to good clinical workDocumentation through the lens of the “Golden Thread”Documentation as a protector of income and integrityAnxiety-reducing answers to common questionsEmbrace the Requirement of Medical NecessityThe elements of medical necessityThe “Golden Thread” as a key part of medical necessityEstablish the connection between diagnosis and treatmentHow to Write:The Diagnostic SummaryWhat’s needed in the diagnostic summary, and whyHow the diagnostic summary initiates the path of the Golden ThreadThe Treatment PlanWhat’s needed in a treatment plan, and whyOperationalize the presenting problemQuestions to askDescribe the diagnostic criteria in behavioral termsMake a clear connection between goals, objectives, and interventionsProtect the client and the therapist with a thoughtful risk assessmentEvaluate client progressHow the treatment plan it continues the path of the Golden ThreadAnd more …Activity: Write a treatment planThe Session NoteThe session’s note relationship to the treatment planWhat’s needed in a session note and whyDescriptive or narrative approach to interventions usedChanges to treatment planJustify multiple sessionsActivity: Write a session noteThe Case and Collateral Contact NoteWhat’s needed in a case and collateral contact note and whyDifferences between case and collateral contact notesProvide a clinical justification for the case/collateral consultThe Discharge SummaryWhat’s needed in a discharge summary, and whyHow the discharge summary completes the Golden Thread20 DOCUMENTATION RED FLAGS THAT LEAD TO TROUBLEGet Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice – Beth Rontal, Only Price $87Tag: Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice Review. Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice download. Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice discount.