Download or read book The Clinical Documentation Sourcebook written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2010-02-02 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, handouts, and records mental health professionals need to meet documentation requirements–fully revised and updated The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice. The Fourth Edition offers: Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations A new chapter covering the most current format on screening information for referral sources Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

Download or read book The Clinical Documentation Sourcebook written by Donald E. Wiger and published by . This book was released on 1997-05-05 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying floppy disk contains ... "24 ready-to-use sample forms that meet the documentation requirements of virtually every managed care organization."--Page 4 of cover.

Download or read book The Continuum of Care Clinical Documentation Sourcebook written by Chris E. Stout and published by Wiley-Interscience. This book was released on 1999-11-17 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, handouts, and records you need to meet the paperwork requirements of the managed care era In an era of third-party accountability, your professional survival could hinge on your ability to comply with the documentation requirements of insurers and regulatory agencies. Written by an experienced clinician who has trained thousands of mental health professionals in effective clinical documentation, this sourcebook helps you minimize the potential for billing disputes–or worse–by arming you with the full retinue of required forms, checklists, and records. An indispensable resource for mental health professionals working in inpatient, partial hospitalization, day treatment, and/or residential treatment programs, The Continuum of Care Clinical Documentation Sourcebook is the only book that brings together sample documents covering all stages of treatment–from intake and admission to outcome assessment. Ready-to-use blank forms, handouts, and records make it easy to satisfy the paperwork demands of HMOs, insurers, and regulatory agencies Completed copies of forms illustrate the exact type of information required Clear, concise explanations of the purpose of each form–including when it should be used, with whom, and at what point Forms may be copied from the book or customized on the included disk

Download or read book The Clinical Documentation Sourcebook Tf written by Wiger and published by . This book was released on 2001-10-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Psychotherapy Documentation Primer written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2005 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: "...Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger practice groups, inpatient facilities, and hospitals...second edition provides the latest information on record keeping for intake, assessment, treatment planning, progress notes, and other essential areas..."--back cover.

Download or read book The Psychotherapy Documentation Primer written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2020-11-10 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Everything you need to know to record client intake, treatment, and progress—incorporating the latest managed care, accrediting agency, and government regulations Paperwork and record keeping are day-to-day realities in your mental health practice. Records must be kept for managed care reimbursement; for accreditation agencies; for protection in the event of lawsuits; to meet federal HIPAA regulations; and to help streamline patient care in larger group practices, inpatient facilities, and hospitals. The standard professionals and students have turned to for quick and easy, yet comprehensive, guidance to writing a wide range of mental health documents, the Fourth Edition of The Psychotherapy Documentation Primer continues to reflect HIPAA and accreditation agency requirements as well as offer an abundance of examples. Fully updated to include diagnostic criteria of the DSM-5, The Psychotherapy Documentation Primer, 4th Edition is designed to teach documental skills for the course of psychotherapy from the initial interview to the discharge. The documentation principles discussed in the text satisfy the often-rigid requirements of third-party insurance companies, regulating agencies, mental health licensing boards, and federal HIPAA regulations. More importantly, it provides students and professionals with the empirical and succinct documentation techniques and skills that will allow them to provide clear evidence of the effects of mental health treatment while also reducing the amount of their time spent on paperwork.

Download or read book The Couple and Family Clinical Documentation Sourcebook written by Terence Patterson, Ph.D. and published by . This book was released on 1999-02-04 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: All of the forms, inventories, checklists, client handouts, and clinical records essential to building and running a successful practice. Has the paperwork monster created by today's managed care environment crippled your couple and family practice? This handy sourcebook—the first in this discipline—is the timesaving resource you've been looking for. It provides couple and family therapists with a full arsenal of tools for assessing and treating clients' problems, and managing today's complicated practices. Providing ready-to-copy blank forms, examples of fully completed forms, and a floppy disk containing all of the blank forms in ready-to-use word-processing files, this invaluable resource will assist you in effectively and efficiently providing services. With The Couple and Family Clinical Documentation Sourcebook you'll spend less time on paperwork and more time with clients. All of the forms, inventories, checklists, client handouts, clinical records, and guidelines essential to building and running a successful practice Ready-to-use blank forms and handouts make it easy to satisfy the paperwork demands of HMOs, insurers, and regulatory agencies Completed copies of forms illustrate the exact type of information required Clear, concise explanations of the purpose of each form—including when it should be used, with whom, and at what point Forms may be copied from the book or customized on the included disk.

Download or read book The Clinical Child Documentation Sourcebook written by Donald K. Freedheim and published by . This book was released on 1999-02-08 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, checklists, handouts, and clinical records needed to run a successful child mental health practice The paperwork required when providing mental health services in the current era of third-party accountability continues to mount. This easy-to-use resource offers child psychologists and therapists a full array of forms, inventories, checklists, client handouts, and clinical records essential to a successful practice in either an organizational or clinical setting. From intake to diagnosis and treatment through discharge and outcomes assessment, The Clinical Child Documentation Sourcebook offers sample forms for every stage of the treatment process. Like its bestselling predecessor, The Clinical Documentation Sourcebook, The Clinical Child Documentation Sourcebook includes ready-to-copy blank forms, as well as examples of fully completed forms, and a 3.5" disk that contains word-processing versions of every form in the book. With The Clinical Child Documentation Sourcebook you'll spend less time on paperwork and more time with clients. Ready-to-use blank forms, handouts, and records make it easy to satisfy the paperwork demands of HMOs, insurers, and regulatory agencies Completed copies of forms illustrate the exact type of information required Clear, concise explanations of the purpose of each form—including when it should be used, with whom, and at what point Forms may be copied from the book or customized on the disk included using any DOS or Windows-based word-processing program

Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.

Download or read book Clinical Documentation Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

Download or read book Handbook of School Mental Health written by Mark D. Weist and published by Springer Science & Business Media. This book was released on 2008-10-23 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: Turn to this book for practical guidance in attending not only to routine mental health needs of students, but also in responding quickly and effectively to traumatic events. The authors discuss how to build and enhance collaborative approaches among the many stakeholders. You’ll learn how to ensure that best evidence-based practices are used in all systems of care. Next, the handbook introduces strength-based approaches to assessment in schools. Finally, the authors discuss the latest strategies to help you prevent and manage crises while addressing the unique ethical, cultural, and legal challenges of school mental health.

Download or read book The Clinical Documentation Improvement Specialist s Handbook Second Edition written by Heather Taillon and published by HC Pro, Inc.. This book was released on 2011-01-21 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Clinical Documentation Improvement Specialist's Handbook, Second Edition Marion Kruse, MBA, RN; Heather Taillon, RHIA, CCDS Get the guidance you need to make your CDI program the best there is... The Clinical Documentation Improvement Specialist's Handbook, Second Edition, is an all-inclusive reference to help readers implement a comprehensive clinical documentation improvement (CDI) program with in-depth information on all the essential responsibilities of the CDI specialist. This edition helps CDI professionals incorporate the latest industry guidance and professional best practices to enhance their programs. Co-authors Heather Taillon, RHIA, and Marion Kruse, MBA, RN, combine their CDI and coding expertise to explain the intricacies of CDI program development and outline the structure of a comprehensive, multi-disciplinary program. In this edition you will learn how to: Adhere to the latest government and regulatory initiatives as they relate to documentation integrity Prepare for successful ICD-10 transition by analyzing your CDI program Step up physician buy-in with the improved education techniques Incorporate the latest physician query guidance from the American Health Information Management Association (AHIMA) Table of Contents Chapter 1: Building the CDI Program Chapter 2: CDI and the healthcare system Chapter 3: Application of coding guidelines Chapter 4: Compliant physician queries Chapter 5: Providing physician education Chapter 6: Monitoring the CDI program What's new in the Second Edition? Analysis of new industry guidance, including: AHIMA's "Managing an Effective Query Process" and "Guidance for Clinical Documentation Improvement Programs." CMS guidance from new IPPS regulations, MLN Matters articles, Quality Improvement Organizations, and the Recovery Audit Contractor (RAC) program, among others Strategies to help you incorporate the guidance into your CDI program. Tools to help you interpret MAC initiatives and RAC focus areas to enhance your CDI program and help prevent audit takebacks New sample queries, forms, tools, and industry survey data BONUS TOOLS! This book also includes bonus online tools you can put to use immediately! Sample query forms Sample job descriptions for CDI managers, and CDI specialists Sample evaluation form for CDI staff Sample pocket guide of common documentation standards

Download or read book The Chemical Dependence Treatment Documentation Sourcebook written by James R. Finley and published by Wiley. This book was released on 1998-11-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, psychoeducational materials, and management tools needed to build and run a substance abuse treatment program Are you weary of trying to tame the paperwork monster engendered by today's managed care environment? This valuable sourcebook lightens that burden by arming you with more than 80 ready-to-use forms covering every aspect of substance abuse treatment programs. James R. Finley and Brenda S. Lenz share what they've learned about building and managing successful chemical dependence treatment programs, and they supply you with: Ready-to-use blank forms that make it easy to satisfy the paperwork demands of HMOs, insurers, and regulatory agencies A computer disk containing all the forms in a format that lets you customize them using any DOS or Windows-based word processing program A collection of lesson plans and other valuable psychoeducational materials Proven tools for managing a chemical dependence treatment program Expert advice and guidance on establishing and running a treatment program With The Chemical Dependence Treatment Documentation Sourcebook you'll spend less time on paperwork and more time with clients.

Download or read book Essentials of Crisis Counseling and Intervention written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2003-07-30 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to effective crisis counseling and intervention Essentials of Crisis Counseling and Intervention offers practical, field-tested methods for dealing with traumatic and life-changing events. This helpful manual presents useful strategies for crisis prevention, functioning effectively during a crisis, caring treatment approaches, and aftercare--and describes how to assess the extent to which a crisis has impacted an individual. Important legal aspects of crisis counseling are also highlighted--such as risk, suicidality, and documentation--as well as helpful details on how to prevent potential malpractice issues related to crisis intervention. Essentials of Crisis Counseling and Intervention gives clear explanations of proven practice techniques and examples of effective interventions. It provides an accessible and practical guide to navigating through the complexities of any type of crisis situation, including natural disasters, community violence, and personal tragedy. Unique coverage is presented on such topics as group intervention, incorporating spirituality into treatment, community resources, coordinating efforts of crisis-response personnel, and the roles of various crisis workers, including instructions for how to prepare intellectually and emotionally for crisis situations. As part of the Essentials of Mental Health Practice series, this book provides the information mental health professionals need to practice knowledgeably, efficiently, and ethically in today's behavioral health care environment. Each concise chapter features numerous callout boxes highlighting key concepts, bulleted points, and extensive illustrative material, as well as "Test Yourself" questions that help you gauge and reinforce your grasp of the information covered.

Download or read book Building Basic Therapeutic Skills written by Jeanne Albronda Heaton and published by Jossey-Bass. This book was released on 1998-04-03 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: No matter what a clinician's theoretical orientation, this practical handbook offers them down-to-earth advice and shows what it takes to be an effective therapist. Filled with real-world examples, this book walks through the steps of the therapeutic process from the first contact to termination.

Download or read book The Addiction Counselor s Documentation Sourcebook written by James R. Finley and published by John Wiley & Sons. This book was released on 2005-05-13 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: All of the requisite forms addiction treatment professionalsneed—a crucial time-saver in today's healthcare system Treating addiction in today's healthcare environment means thatmental health professionals must manage an imposing amount ofpaperwork. Government and private grant funding, insurance andbenefits programs, regulatory compliance, and the need for data ontreatment effectiveness (evidence-based treatment) all requireproper documentation. If these forms are missing, the results canrange from bureaucratic headaches to problems serious enough toclose a practice. Now fully updated and revised, The Addiction Counselor'sDocumentation Sourcebook: The Complete Paperwork Resource forTreating Clients with Addictions, Second Edition provides themost useful and current forms for accurate and comprehensivedocumentation and record keeping. These ready-to-use forms willsave you and your practice hours that would otherwise be spentcreating and collating them, freeing you to devote more energy tothe important matters of treatment. A companion CD-ROM includes alldocuments in Word? format so you can customize them according tothe unique needs of your practice. Covering every aspect of mental health practice for addictiontreatment, this fully revised Second Edition also includes: Critical forms updated to help providers achieve HIPAA, JCAHO,and CARF compliance Unique handouts, exercises, and facilitator guides for use inindividual and group therapy A comprehensive CD-ROM featuring all forms in Word format, aswell as PowerPoint slideshows for every psychoeducationalpresentation in the book The Addiction Counselor's Documentation Sourcebook, SecondEdition is an essential timesaving resource that allows anyprofessional practicing or working in the field of addictiontreatment the freedom to give more of their time and energy to thepeople they serve.

Download or read book The Clinical Child Documentation Sourcebook Tf written by Freedheim and published by . This book was released on 2001-10-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: