Mastery in MH Documentation & Medical Necessity: Comprehensive Clinical Documentation for Psychotherapists (Rontal HS 054275)

Course overview

Clinical documentation is a professional standard of care, but there is little guidance about what to write or how to write it. Paperwork can seem disconnected from helping clients. It can create confusion and anxiety about possible violations of privacy and confidentiality, potentially traumatic audits, and even legal nightmares. What are the criteria for a client needing services? How is medical necessity justified? How can the “golden thread” of documentation be created and maintained so that audits are passed and a professional standard of care is maintained even when insurance is not involved? This course can help answer these questions and more! Effective clinical documentation is not rocket science. It is a formula that, once learned, translates clinical thinking into clean documentation, so that writing notes and treatment plans can be done quickly and efficiently, getting authorizations is easy, and audits are not as threatening. In addition, confidentiality is not violated and continuity of care is practiced. Chose mastery over misery and allow good clinical documentation to be a contribution to high quality clinical work rather than a detour away from it.