Medicare Compliance & Reimbursement

Compliance:

See Encounter Templates as a Blank Page

Question: Our behavioral health practice uses templates for psychotherapy notes. During an internal audit, we found that several notes for the same patient contain nearly identical descriptions of the patient’s symptoms, psychotherapy interventions, and response to treatment. The therapist updates the date and session time and makes a few changes to the assessment, but much of the narrative carries forward [...]
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