Seminar Detail

Mastery in Mental Health Documentation & Medical Necessity: Comprehensive Clinical Documentation for Psychotherapists
Mastery in Mental Health Documentation & Medical Necessity: Comprehensive Clinical Documentation for Psychotherapists

Where:   TOWSON, MD

When:  Wednesday, April 10, 2019 at 8:00 AM - 4:00 PM

Other ways to Register: Call (800) 844-8260   |   Printable Form (fax or mail)
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Details

$229.99
Single Registration
$199.99
Single Registration: Advance Price (ends 3/21/2019)
$199.99
2+ Group Rate: per person
*** All prices are shown in US Dollars ***
 
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Location

SHERATON BALTIMORE NORTH
903 DULANEY VALLEY RD
TOWSON, MD 21204
Phone:  (410) 321-7400
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Course Description:

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.
Objectives:

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes
OUTLINE

Why is Documentation the Topic Clinicians Love to Hate?
  • How do you feel about documentation?
  • Why is documentation so daunting?
  • Why is documentation the topic clinicians love to hate?
  • Why document?
Medical Necessity
  • Definition of Medical Necessity
  • What is “The Golden Thread” and how does it relate to medical necessity?
  • What is the role of the diagnosis in justifying medical necessity?
How to Write a Treatment Plan
  • Definition of a treatment plan
  • Everything that’s needed in a treatment plan and why
  • How to write a treatment plan that justifies medical necessity using behavioral language and the “golden thread” with examples
  • Practice writing a treatment plan
How to Write a Session Note
  • Definition of a session note and how it relates to the treatment plan
  • Everything that’s needed in a session note and why
  • How to write a session note that justifies medical necessity using behavioral language and the “golden thread” with examples
  • Practice writing a session note
How to Write an Intake Summary
  • Definition of an intake summary and how it relates to all other documentation
  • Everything that’s needed in an intake summary and why
  • How to write an intake summary that lays the ground for medical necessity
How to Write Case/Collateral Contact Notes
  • Definition of a case/collateral contact note and how it relates to the treatment plan
  • Everything that’s needed in a case/collateral contact note and why
  • How to write a case/collateral Contact Note that justifies medical necessity using behavioral language and the “golden thread” with examples
How to Write a Discharge Summary
  • Definition of a discharge summary and how it relates to the treatment plan
  • Everything that’s needed in a discharge summary and why
  • How to write a discharge summary that completes the “golden thread” with examples
Target Audience

  • Mental Health Administrators
  • Psychiatrists
  • Psychologists
  • Counselors
  • Social Workers
  • Office Managers
  • Mental Health Nurses
  • Marriage and Family Therapists
  • Psychotherapists
  • Other Mental Health Professionals

BETH RONTAL, MSW, LICSW

Beth Rontal, LICSW, is a psychotherapist in private practice in Brookline, Massachusetts, as well as a documentation consultant (wizard) and private supervisor. Ms. Rontal earned her MFA from Boston University, and her Master’s in Social Work from Simmons College in Boston. She was clinical supervisor at a mental health clinic for 16 years, where she was instrumental in developing and implementing the clinic’s first electronic documentation system. This implementation significantly reduced documentation time and errors and decreased the paperwork returned by clinicians from 65% to 8%, which in turn allowed for the addition of 3 to 5 clinical hours per week and generated thousands of dollars in savings for the company.

Ms. Rontal continues to be a developer and consultant in the field of clinical documentation. She is a sought-after national lecturer who has taught seminars over the course of many years, in addition to having published numerous articles on the topic.



Speaker Disclosures:

Financial: Beth Rontal is in private practice. She has intellectual property rights to Documentation Wizard. Ms. Rontal receives a speaking honorarium from PESI, Inc.

Non-financial: Beth Rontal has no relevant non-financial relationship to disclose.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




COUNSELORS
This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

DISTRICT OF COLUMBIA COUNSELORS: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


MARRIAGE & FAMILY THERAPISTS
This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS
This activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this activity and contact your state board or organization to determine specific filing requirements.


PSYCHOLOGISTS
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The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Pennsylvania, South Carolina and Wisconsin. This activity consists of 6.0 clock hours of continuing education instruction. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.

PHYSICIANS: PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

PESI, Inc. designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.




SOCIAL WORKERS
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PESI, Inc. Provider #:1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017 - January 27, 2020. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 6.25 (Clinical Practice) continuing education clock hours for this Intermediate course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required; no partial credits will be offered for partial attendance.


OTHER PROFESSIONS
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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