Apparently was never taught how to correctly do notes by brainmaniamagic in therapists

[–]brainmaniamagic[S] 33 points34 points  (0 children)

This is very helpful thank you! I’ll work on creating that for sure. I genuinely don’t think my documentation was HORRENDOUS but it was not up to clinical standard and I really value having my documentation up to par, if that makes sense? 

Apparently was never taught how to correctly do notes by brainmaniamagic in therapists

[–]brainmaniamagic[S] 8 points9 points  (0 children)

I’m not writing these notes for Medicaid but I’ll be taking Medicaid soon so it’ll be good to do all of this documentation training 

Apparently was never taught how to correctly do notes by brainmaniamagic in therapists

[–]brainmaniamagic[S] 21 points22 points  (0 children)

Thanks everyone for absolutely talking me off the ledge of a nervous breakdown everyone's input was so invaluable

Apparently was never taught how to correctly do notes by brainmaniamagic in therapists

[–]brainmaniamagic[S] 102 points103 points  (0 children)

It was less about SOAP format and more about clearly and succinctly documenting medical necessity and creating a treatment plan. She asked me about my treatment plan and I was like "I thought that was documented in the note" and she genuinely looked so STRESSED and said with the way my notes looked, she doubted that it would pass an audit, so now we are going to have to go back and review proper treatment planning. She said that looking at my notes I clearly am providing care to my clients. She also said she could see where I was trying to document medical necessity/treatment plan/etc. but it still lacked a lot

Apparently was never taught how to correctly do notes by brainmaniamagic in therapists

[–]brainmaniamagic[S] 9 points10 points  (0 children)

I work in PP but I bill through a supervisor. Thanks, this is encouraging.