Documentation for Psych Eval

[Jessheartz]

Hi,

I was wondering if anyone has any templates or can help me with information on what common documentation can be added for psych evals. A majority of our Psych notes are being drown grade with level 3 due to the lack of HPI elements. I've been researching for different templates but they lean more towards office visit. Have looking for both Peds and adult. Any guidance or direction will truly help.

Thank You

[Andrschery]

Hi,

I was wondering if anyone has any templates or can help me with information on what common documentation can be added for psych evals. A majority of our Psych notes are being drown grade with level 3 due to the lack of HPI elements. I've been researching for different templates but they lean more towards office visit. Have looking for both Peds and adult. Any guidance or direction will truly help.

Thank You

Check out this article and it may help you.

https://www.aapc.com/blog/25848-succ...atry-em-notes/

Cheryl Anderson, LPN, CPC, CPC-I, CEMC