Course info

Date: 9/12/22 8:45am-4pm (EST)                                                                           

Instructor: Kimberly Blair, MA, LPCC-S & Claire Robitaille, Ph.D., LSW, Psychologist

CE Credit Hours: 6

Program Description: 

This training will assist clinicians with understanding and utilizing appropriate clinical documentation.  Participants will learn the clinical documentation necessary for billing, compliance with various regulatory bodies, and communicating with others about what care has been provided. Client care should focus on the client’s needs and desires, and documentation of that care should maintain a client focus. Concurrently, client care must be deemed medically necessary in order to be eligible for most reimbursement systems. Good documentation balances these two agendas while helping clinicians remain focused on sound clinical care.

• Understand what "medically necessary" care means.
• Increase ability to write "medically necessary" clinical documentation

• Identify the core requirements for deeming care “medically necessary”
• Formulate and write client centered medically necessary goals/objectives in treatment planning.
• Generate client centered medically necessary case notes.
• Recognize the core concepts of accountable care, value-based care and clinical outcomes

Workshop Outline:

Morning Session

Overview of documentation (8:45-9:30 am)

Client Centered vs. Medical Necessity (9:30-10:00)

Break (10:30)

Golden Thread (10:45-11:30)

Creating good ISPs (11:30-12:00)

Afternoon Session

Creating good case notes (12:45-1:30)

Practice (1:30-2:15)

Break (2:15-2:30)

Collaborative Documentation (2:30-3:15)

Value Based Care and Clinical Outcomes (3:15-3:45)

Implementation Plan and Evaluation (3:45-4:00)

*All training content is co-facilitated.

Level: Beginner

Mid-Ohio Psychological Services, Inc. has been approved as a CE provider by the Ohio Psychological Association (#311358292) and the Ohio Counselor, Social Worker, and Marriage & Family Therapist Board (RCS060502).