Mastering Behavioral Health Clinical Documentation
Mastering Behavioral Health Clinical Documentation
Welcome to the Mastering Behavioral Health Clinical Documentation Classroom
One of the most important parts of running your clinical practice, especially if you accept payment from health insurance companies, is understanding the critical elements of treatment record documentation. It is a topic rarely taught in graduate school, and only sometimes covered at our first jobs under supervision. Yet understanding an effective approach can make a huge difference in managing our practice.
The Mastering Behavioral Health Clinical Documentation course is a fifteen part training course, covering all of the major elements from Assessment, to Treatment Planning, through to Progress Note Documentation. It also covers some of the more important elements of understanding how Medical Necessity plays an important role.
The course is built into parts in order for you to be able to work at your own pace. While the content has been created to go in "order" you can access each section in the order that is most helpful to your needs.
The Course Includes:
The concept of the Golden Thread
The importance of understanding Medical Necessity
A detailed discussion of the biopsychosocial assessment, including
Psychological Factors
Bio Medical Factors
Social Factors
The use of standardized assessment tools
The use of Questionnaires for gathering information
The integration of assessment domains to get closer to a diagnosis
The Construction of the Assessment
Understanding the Value of a Clinical Formulation
The process of developing a Treatment Plan
Understanding the processes of developing Goals, Objectives, and Interventions
Understanding how these treatment plan elements of Treatment Plans
How to write and effective Goal
How to develop a good Objective
Understanding SMART Objectives
Standardized Reviews of Plans
Defining Progress Notes
Understanding the Key Components of a Progress Note
Discussion of the differences between Subjective and Objective Material in Progress Notes
