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notes

  1. K

    Wiki Use of Acronyms in Chart Notes

    Good Afternoon! I am wondering if anyone out there can help me. I work in a clinic that has a unique range of providers, we have A&D Counselors, Mental Health LCSW's, MD's, PA's, ARNP's, Dental and Pharmacy. Because we have such a range of providers, we have many different styles of notes that...
  2. J

    Wiki coding from chart notes

    Our doctors push ICD-10 codes that show up on the chart notes. If he pushes a pain code but the body of the notes state patient has a sprain, etc. I have been coding the sprain or fracture or whatever based on the dictated note not on the code he pushes. ??? Anybody else have issues with this.
  3. M

    Wiki Mental Health/Substance Use Disorder Group Therapy Case Notes

    Looking for "best practice" documentation of "group therapy" notes w regulatory citations - or without. Billing codes would be a nice feature also. If you have such a form or know a link, please do share. Thanks
  4. L

    Wiki Psychology

    Could a psychologist use an intern to evaluate new patients, review interns notes, and bill under his/her number?
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