UT-RioGrand LIVE Essentials Documentation Training
.kb-row-layout-id45552_339bc2-57 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_339bc2-57 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_339bc2-57 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_339bc2-57 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_339bc2-57 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_339bc2-57 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_f51628-d5 > .kt-inside-inner-col,.kadence-column45552_f51628-d5 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_f51628-d5 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_f51628-d5 > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_f51628-d5 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_f51628-d5 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_f51628-d5{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_f51628-d5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_f51628-d5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac, .wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac[data-kb-block="kb-adv-heading45552_19c5ae-ac"]{text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac[data-kb-block="kb-adv-heading45552_19c5ae-ac"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_19c5ae-ac[data-kb-block="kb-adv-heading45552_19c5ae-ac"] img.kb-inline-image{width:150px;vertical-align:baseline;} Misery or Mastery® Essential Documentation for Psychotherapists … empowering mental health professionals to translate their clinical intuition into effective documentation .kb-row-layout-id45552_fb3472-6a > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_fb3472-6a > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_fb3472-6a > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_fb3472-6a > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_fb3472-6a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_fb3472-6a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_60206c-9a > .kt-inside-inner-col,.kadence-column45552_60206c-9a > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_60206c-9a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_60206c-9a > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_60206c-9a > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_60206c-9a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_60206c-9a{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_60206c-9a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_60206c-9a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea, .wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea[data-kb-block="kb-adv-heading45552_8d0abb-ea"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea[data-kb-block="kb-adv-heading45552_8d0abb-ea"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_8d0abb-ea[data-kb-block="kb-adv-heading45552_8d0abb-ea"] img.kb-inline-image{width:150px;vertical-align:baseline;} There Should Be a DSM Code for “Documentation Anxiety!” If you’d rather clean the toilet than write your progress notes, you’re not alone. Mental health documentation is the subject almost every therapist loves to hate. For a good reason. It wasn’t taught in grad schools, and it’s rarely taught on the job. Do you: Lose sleep worrying about audits or legal involvement? Spend too much time writing notes, procrastinate or avoid them? Wonder if you’re writing too little or too much? Feel unsure about regulatory standards? Worry about how to preserve client confidentiality? Think writing notes is a clinically irrelevant waste of time? Every therapist knows that avoiding progress notes puts their practice in jeopardy. You may never learn to love writing your notes but if you choose mastery over misery, your good clinical documentation will not only be meaningful, it will contribute to and reflect high quality care – and protect your income at the same time. .kb-row-layout-id45552_ea051c-44 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_ea051c-44 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_ea051c-44 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_ea051c-44 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_ea051c-44 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_ea051c-44 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_9bb1dc-55 > .kt-inside-inner-col,.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_9bb1dc-55{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_9bb1dc-55 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2, .wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2[data-kb-block="kb-adv-heading45552_70b44e-d2"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2[data-kb-block="kb-adv-heading45552_70b44e-d2"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_70b44e-d2[data-kb-block="kb-adv-heading45552_70b44e-d2"] img.kb-inline-image{width:150px;vertical-align:baseline;} What is included in this training A LIVE Webinar training on August 13 and the replay video which you have unlimited online access for one year. The series comes with: Workshop Manual / Powerpoint slide deck to make comments and use as reference while writing your notes. Recording of the entire training to listen in the car, at the gym, or even while washing the dishes. Practice treatment and practice progress note forms to be used during the video training. Complete agenda detailing entire workshop. .kb-row-layout-id45552_d0e01f-51 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_d0e01f-51 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_d0e01f-51 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_d0e01f-51 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_d0e01f-51 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_d0e01f-51 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_0ad107-1b > .kt-inside-inner-col,.kadence-column45552_0ad107-1b > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_0ad107-1b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_0ad107-1b > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_0ad107-1b > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_0ad107-1b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_0ad107-1b{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_0ad107-1b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_0ad107-1b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0, .wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0[data-kb-block="kb-adv-heading45552_fcd6d9-a0"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0[data-kb-block="kb-adv-heading45552_fcd6d9-a0"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_fcd6d9-a0[data-kb-block="kb-adv-heading45552_fcd6d9-a0"] img.kb-inline-image{width:150px;vertical-align:baseline;} What You’ll Learn Recognize obstacles to writing clear and concise documentation Translate clinical skill and intuition into the language required by insurance companies Apply the Golden Thread to justify medical necessity from intake to discharge. Document what really happens in a therapy session without violating confidentiality Analyze clinical, legal, and ethical red flags of documentation and how to avoid them .kb-row-layout-id45552_b9b27c-81 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_b9b27c-81 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_b9b27c-81 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_b9b27c-81 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_b9b27c-81 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_b9b27c-81 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_ba9440-82 > .kt-inside-inner-col,.kadence-column45552_ba9440-82 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_ba9440-82 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_ba9440-82 > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_ba9440-82 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_ba9440-82 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_ba9440-82{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_ba9440-82 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_ba9440-82 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53, .wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53[data-kb-block="kb-adv-heading45552_2a5c15-53"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53[data-kb-block="kb-adv-heading45552_2a5c15-53"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_2a5c15-53[data-kb-block="kb-adv-heading45552_2a5c15-53"] img.kb-inline-image{width:150px;vertical-align:baseline;} Video Schedule Unlimited access to the replay video for one year. The training includes: MODULE 1: YOU’RE NOT A BAD THERAPIST. YOU’RE JUST NOT TRAINED (30 minutes) The 3 causes of “documentation anxiety” How to stop documentation anxiety from becoming “documentation trauma” What our codes of ethics say about documentation Insurance and private pay therapists – same documentation standards? Documentation as protection of income and agent of professional integrity Anxiety-reducing answers to common questions. Documentation as a contribution to good clinical work .kb-row-layout-id45552_e3a771-49 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_e3a771-49 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_e3a771-49 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_e3a771-49{background-color:rgba(207,219,226,0.53);}.kb-row-layout-id45552_e3a771-49 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_e3a771-49 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_e3a771-49 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_492c17-a3 > .kt-inside-inner-col,.kadence-column45552_492c17-a3 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_492c17-a3 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_492c17-a3 > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_492c17-a3 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_492c17-a3 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_492c17-a3{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_492c17-a3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_492c17-a3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} MODULE 2: DEFINITIONS AND CONTEXT (15 minutes) Documentation through the lens of medical necessity The “Golden Thread” and its role in justifying medical necessity Conceptualizing therapy as a single-case experiment to guide treatment Using diagnosis as the hypothesis and progress documentation as the experimental outcome Establishing the connection between the diagnosis and treatment Functions of documentation The complexities and clinical challenges of writing for different audiences The significance of clinical intuition in the documentation process .kb-row-layout-id45552_f6efe1-0c > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_f6efe1-0c > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_f6efe1-0c > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_f6efe1-0c > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_f6efe1-0c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_f6efe1-0c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_b13205-b6 > .kt-inside-inner-col,.kadence-column45552_b13205-b6 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_b13205-b6 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_b13205-b6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_b13205-b6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_b13205-b6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_b13205-b6{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_b13205-b6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_b13205-b6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} MODULE 3: THE TREATMENT PLAN (3 hours 15 minutes) Administrative and clinical requirements Writing a treatment plan that justifies medical necessity How the treatment plan describes the experimental process The Treatment Plan Formula Implementing the Golden Thread with case examples Creating a clear connection between all elements of the plan How to operationalize the treatment plan Why using behavioral language makes sense clinically Including clients in the treatment planning process. Questions to ask The challenges of and solutions for creating realistic and measurable goals The “rule of 3” The value of documenting barriers to treatment Protecting client and therapist with a risk assessment The debate over documenting medications and best practice Evaluating and documenting progress Deadline for writing treatment plans Shedding light on treatment plan frequency How to avoid making yourself crazy writing your treatment plans Implementing the golden thread with a Treatment Plan Practice Session .kb-row-layout-id45552_20d20b-74 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_20d20b-74 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_20d20b-74 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_20d20b-74{background-color:rgba(207,219,226,0.53);}.kb-row-layout-id45552_20d20b-74 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_20d20b-74 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_20d20b-74 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_377909-2c > .kt-inside-inner-col,.kadence-column45552_377909-2c > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_377909-2c > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_377909-2c > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_377909-2c > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_377909-2c > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_377909-2c{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_377909-2c > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_377909-2c > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} MODULE 4: THE PROGRESS NOTE (1 hour 30 minutes) Administrative and clinical requirements of the progress note, including telehealth documentation The role of the progress note in advancing the golden thread Documenting each session in the experimental process and how it relates to the treatment plan The controversy between using checkboxes and narratives Guidelines for determining when to be vague and when to be specific Balancing client confidentiality with clarity about what happened during the session The 6 different assessments in the progress note The role of the risk assessment; not just for suicide, homicide, and violence The importance of documenting sleep issues Writing interventions without using psychobabble The continuing debate over documenting medications and best practice How to document even the slightest progress Justifying “extended-time” and multiple sessions of the week Debunking the myth of the 24-hour completion rule Implementing the golden thread with a Progress Note practice session .kb-row-layout-id45552_d85c75-7b > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_d85c75-7b > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_d85c75-7b > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_d85c75-7b > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_d85c75-7b > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_d85c75-7b > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_1e53a9-ee > .kt-inside-inner-col,.kadence-column45552_1e53a9-ee > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_1e53a9-ee > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_1e53a9-ee > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_1e53a9-ee > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_1e53a9-ee > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_1e53a9-ee{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_1e53a9-ee > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_1e53a9-ee > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} MODULE 5: THE CLINICAL DOCUMENTATION NO ONE TALKS ABOUT (45 minutes) The Collateral Contact Note Administrative and clinical requirements Clinical and legal imperatives of writing the collateral contact note Maintaining the golden thread and justifying medical necessity with case examples The Discharge Summary Administrative and clinical requirements How the discharge summary completes the Golden Thread Legal and ethical considerations of a discharge summary When to write the discharge summary The role of the termination letter The Intake Summary Administrative, legal, and clinical requirements How the intake summary initiates the golden thread and lays the groundwork for justifying medical necessity. Establishing the connection between the diagnosis and treatment What to include in a trauma informed intake Deadline for writing the intake summary .kb-row-layout-id45552_7504b9-34 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_7504b9-34 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_7504b9-34 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1240px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_7504b9-34{background-color:rgba(207,219,226,0.53);}.kb-row-layout-id45552_7504b9-34 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_7504b9-34 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_7504b9-34 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_2ab97e-4d > .kt-inside-inner-col,.kadence-column45552_2ab97e-4d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_2ab97e-4d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_2ab97e-4d > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_2ab97e-4d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_2ab97e-4d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_2ab97e-4d{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_2ab97e-4d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_2ab97e-4d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} MODULE 6: 37 TRIGGERS TO AUDITS, CLAW BACKS, AND ETHICAL ISSUES AND HOW TO AVOID THEM (45 minutes) What triggers an audit How to fail an audit Honest mistakes that can be seen as insurance fraud Ethical challenges in documentation and how to handle them The role of Informed Consents in clinical documentation Basic Do’s and Don’ts Paper notes or EHR? What’s next Avoiding documentation fatigue and making yourself crazy To catch up or move on? Assessing your needs Making your plan Additional resources .kb-row-layout-id45552_5da1ea-ba > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_5da1ea-ba > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_5da1ea-ba > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:1100px;margin-left:auto;margin-right:auto;padding-top:5em;padding-bottom:4em;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_5da1ea-ba > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_5da1ea-ba > .kt-row-column-wrap{padding-top:3em;padding-bottom:3em;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_5da1ea-ba > .kt-row-column-wrap{padding-top:2em;padding-bottom:2em;grid-template-columns:minmax(0, 1fr);}}.adeline-testimonials .kt-testimonial-item-wrap {n padding: 1em 3em;n max-width: 820px;n}n.adeline-testimonials .kt-testimonial-meta-wrap {n margin-top: 24px;n}n@media only screen and (max-width: 768px) {n .adeline-testimonials .kt-testimonial-item-wrap {n padding: 0 1em;n }n} .kadence-column45552_e0fe66-3d > .kt-inside-inner-col,.kadence-column45552_e0fe66-3d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_e0fe66-3d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_e0fe66-3d > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_e0fe66-3d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_e0fe66-3d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_e0fe66-3d{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_e0fe66-3d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_e0fe66-3d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} .wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8, .wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8[data-kb-block="kb-adv-heading45552_7f17f1-c8"]{padding-bottom:0px;margin-bottom:20px;text-align:center;font-size:56px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8[data-kb-block="kb-adv-heading45552_7f17f1-c8"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8[data-kb-block="kb-adv-heading45552_7f17f1-c8"] img.kb-inline-image{width:150px;vertical-align:baseline;}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8, .wp-block-kadence-advancedheading.kt-adv-heading45552_7f17f1-c8[data-kb-block="kb-adv-heading45552_7f17f1-c8"]{font-size:48px;}} what others are saying .kt-blocks-testimonials-wrap45552_3fce86-2b .kt-svg-testimonial-global-icon{font-size:30px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-item-0 .kt-svg-testimonial-icon{font-size:50px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-rating-wrap .kb-svg-icon-wrap{color:#ffd700;font-size:16px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-grid-wrap{gap:var(--global-kb-gap-md, 2rem);}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item{display:none;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item:nth-child(-n+1){padding-left:mdpx;display:block;float:left;width:calc(100% / 1);}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider){margin-left:-mdpx;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-item-wrap{padding-top:20px;padding-right:20px;padding-bottom:0px;padding-left:20px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-item-wrap .kt-testimonial-title{font-size:42px;font-style:normal;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-content{font-size:16px;line-height:1.9em;font-style:normal;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-name{color:var(--global-palette4, #2D3748);font-size:15px;letter-spacing:1.3px;text-transform:uppercase;font-family:'Roboto Condensed';font-style:normal;font-weight:400;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-occupation{font-size:15px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-item-wrap{max-width:1100px;}@media all and (max-width: 1024px){.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item{display:none;}}@media all and (max-width: 1024px){.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item:nth-child(-n+1){padding-left:mdpx;display:block;float:left;width:calc(100% / 1);}}@media all and (max-width: 1024px){.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider){margin-left:-mdpx;}}@media all and (max-width: 767px){.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-carousel .kt-blocks-testimonial-carousel-item{padding-top:px;padding-bottom:px;margin-top:px;margin-bottom:px;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item{display:none;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider) .kb-slide-item:nth-child(-n+1){display:block;float:left;width:calc(100% / 1);padding-left:mdpx;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-blocks-testimonials-inner-wrap .kt-blocks-carousel-init:not(.splide-initialized):not(.tns-slider){margin-left:-mdpx;}.kt-blocks-testimonials-wrap45552_3fce86-2b .kt-testimonial-item-wrap .kt-testimonial-title{font-size:32px;}} u0022I am delighted that I no longer feel that being an intuitive, attuned therapist trained in the Internal Family Systems Model is a barrier for accomplishing this goal! This was in large part because of Beth’s ability to teach documentation skills with confidence, curiosity, compassion and a LOT of clarity! Thank you, Beth!u0022 – Debbie Armstrong, LICSW u0022I just wanted to send a special thank you for sharing your knowledge with the field. Your training is deeply informed and fundamentally revised how I see and conduct my practice. I can tell that the integration and application of the knowledge has only just begun. The content was the most transformative I had experienced since grad school. I cannot thank you enough for the salient, thorough, and impactful content you offer and for your style of delivery. I am grateful to be in the field alongside you. May this brighten your day.u0022 – A. Duffey, LCSW u0022I can say without a doubt that Beth Rontal as the original Documentation Wizard helped me achieve 100% record compliance in a Medicare Audit. By taking her course twice and having additional one-on-one consultations, I was able to achieve success and peace of mind in completing the nuisance of record keeping in my busy clinical practice.u0022 – Alex Kushch, PhD u0022I want to thank you for a Sunday workshop that I was dreading. I thought it was going to be dry and boring with me feeling like I would want to leave asap. Instead, your presentation and warmth made the experience enjoyable. Hard to believe but true! I will highly recommend the workshop.u0022 – Caryn Mushlin, LICSW u0022I am so glad I took your course! You are such an excellent presenter as evidence by being clear, organized, genuine, friendly, balancing ongoing questions, and thoughtful. After taking your course, I finally feel that I will be writing notes, treatment plans, etc. properly, especially since I soon hope to be accepting Medicare. It is a relief to know that if I write notes as you recommend, I won’t have to panic (as much!) if I am ever audited. Thanks again for a great 6 hours of training. I am already telling my colleagues about your course and website.u0022 – Bonnie Deroo, LMFT u0022Profoundly helpful and necessary for all clinicians I feel – No matter how experienced we are.u0022 – Deb Marcucci, LCSW, LISW-S, EMDR clinician .kb-row-layout-id45552_a39e3e-d0 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id45552_a39e3e-d0 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id45552_a39e3e-d0 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id45552_a39e3e-d0 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id45552_a39e3e-d0 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id45552_a39e3e-d0 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}} .kadence-column45552_979977-3f > .kt-inside-inner-col,.kadence-column45552_979977-3f > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column45552_979977-3f > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column45552_979977-3f > .kt-inside-inner-col{flex-direction:column;}.kadence-column45552_979977-3f > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column45552_979977-3f > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column45552_979977-3f{position:relative;}@media all and (max-width: 1024px){.kadence-column45552_979977-3f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column45552_979977-3f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}} RESEARCH There are a variety of reputable websites regarding best practice standards for documenting medical necessity. A few select sites include: Association for Behavioral Health Care; Massachusetts Standardized Documentation Project http://bit.ly/2NdzDET; Medical Documentation for Behavioral Health Practitioners 2015 at https://go.cms.gov/2EkA9OV; and a specific social work resource book Sidell, Nancy L. Social Work Documentation; a Guide to Strengthening Your Case Recording, NASW Press, Washington, DC, 2011. & revised edition, 2015 http://bit.ly/2Eh5yBt TARGET AUDIENCE social workers, psychologists, marriage and family therapists, mental health counselors, creative arts therapists, addictions professionals, and other interested human service staff. CONTENT LEVEL Beginning, Intermediate, Advanced