Supportive Solutions
Behavioral Health and Wellness, LLC
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"Education is our passport to the future,
for tomorrow belongs to the people who prepare for it today."
- Malcom X
"Education is our passport to the future,
for tomorrow belongs to the people who prepare for it today."
- Malcom X
Clinical Documentation 101
Clinical Documentation 101
I HATE writing notes.. and you know you do too! We went to school to be clinicians, NOT authors!! And while in school, we learned all about clinical theories, diagnosis, interventions, etc., but clinical documentation was not part of any of our programs. Now here we are, most of us in private practice, writing notes the way we think they should be written with very little guidance from insurance companies.
If you are in private practice and you accept insurance then you NEED to know how to write notes. Insurance companies can audit your charts at anytime and if your documentation doesn't meet their guidelines then you'll be giving back your hard earned money.. and A LOT of it!!
Learning Objectives
Learning Objectives
Learn to write progress notes, treatment plans, assessments, & discharge plans that are in compliance with insurance criteria
Decrease the amount of time spent writing notes
Identify red flags that might trigger an insurance audit
Learn what steps to take if you are audited
Learn all about..
Learn all about..
Assessments
Assessments
- Assessing, diagnosing, and documenting to justify medical necessity
- How often to assess
- How to write a diagnostic summary to justify treatment
- Connecting the diagnosis to treatment planning
Treatment Plans
Treatment Plans
- Everything that is needed in a treatment plan and treatment plan updates
- Frequency of writing treatment plans
- Assessing and documenting progress
- Understanding the difference between goals, objectives, and interventions
Progress Notes
Progress Notes
- Everything that's needed in a session note
- Documenting for medical necessity
- How to justify an increase in session frequency
- How to maintain client confidentiality
Discharge Notes
Discharge Notes
- Why they're important and when to do them
- Everything that is needed in a discharge note
- Sending termination letters
- Legal and ethical considerations
This training is for psychotherapists who want to improve their documentation skills and knowledge.
Whether you're licensed, provisionally licensed, an intern, working in private practice or an agency, you need to know how to write notes.
NASW approved for 3 CEUS for LCSW, LPC, LMFT, and PsyD
for CT licensed clinicians.
**CEUs will be offered for additional states in 2023**
What are they saying???
What are they saying???
"Hi Shalyn, I just wanted to take a minute and thank you for offering such a great training! I really appreciate all the information, handouts, personal stories, etc. that you shared. I found it so helpful and would highly recommend it to anyone in the future. I’m still processing some of what you shared and keep thinking to myself how lucky your clinicians
are to be able to learn this directly from you."
-Jess T.
"Thank you for a great training. I feel so much more confident about writing notes and have already started implementing changes. You're a really good teacher. Thanks again!"
-May
Clinical Documentation Course
Clinical Documentation Course
This is an interactive course that includes:
- Power point
- An example of a biopsychosocial, progress note, treatment plan, and treatment plan update from a real client's chart using a SOAP template
- Examples of measurable vs. non measurable treatment plan objectives
- A list of clinical terms, phrases, and language to refer to when writing notes
- An on-going list of Q&A generated directly from participant questions
- An audit tool for reviewing your own documentation
- A checklist to refer to when documenting; designed to ensure you don't miss anything
- Insider information on the process of a Medicaid audit (I am currently going through one)!!
Course Price
$149.00
Upcoming Workshop Dates
Upcoming Workshop Dates
2023 Training Dates
Wednesday May 24, 2023
9am-12pm (EST)
Virtual training
via
google meet
Tuesday June 20, 2023
9am-12pm (EST)
Virtual training
via
google meet
Monday July 17, 2023
9am-12pm (EST)
Virtual training
via
google meet
**Training materials and google meet links will be emailed the day prior to virtual trainings**
*** Attention Group Practice Owners ***
Reach out to Shalyn if you are interested in hosting a training onsite or virtually for your team of clinicians.
Discounted group rates are offered based on the needs of each practice.
See contact information below
