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I am posting this question because there has to be another clinic out there with the same issues we are having...I should probably preface this by saying we have been using iterations of CPS since 1997, so BH documenting/billing is nothing new to us.
that said, I'm wondering what others have come up with as a solution to BH documentation, specifically around couples, family, and group therapy. I know about the Visualutions BH suite, and it is something we are taking a further look into.
The issue we have is two-fold: 1) documenting in each chart and 2) billing for couples and family therapy. I'll explain:
1. Documentation - When documenting for couples and family therapy, the notes are essentially the same. Copy, Paste, document on pertinent issues for each member of the couple/family. For family therapy though, the clinician could be copying and pasting 3, 4, or 5 times. That can be very cumbersome. Group therapy is similar to family therapy where parts of the treatment note are the same, and parts are client-specific. copying/pasting/editing also a very time consuming process.
2. Billing - This is where we run into a bulk of our issues. Copying a visit note isn't hard, but making another visit document in a different chart creates a billing ticket. What ends up happening is our therapists have to notify the billing department not to expect a billing order for the other partner or family members, which leaves room for error. We don't want to classify these notes as "internal other" because they are in fact clinical documents.
So, my question for all of you is what solutions have you put into place? I'm all ears!
Thanks in advance.
Posted : May 20, 2015 5:21 am
