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Documentation tips for a social services private practice.

Diagnosis with DSM 5

Documentation Tips, Private Practice|

Diagnosis is often included in a client's Biopsychosocial Assessment. It is also required to receive reimbursement for insurance. This article includes information on how you can use DSM 5 to write a diagnosis. I thought [...]

Do You Need a Records Custodian?

Documentation Tips, Private Practice, Starting a Private Practice|

Most therapists follow the ethical guidelines for their profession. Being a licensed counselor, I follow the ACA Code of Ethics. The ACA just came out with a new code of ethics this year. I got [...]

Biopsychosocial Assessment

Counseling Tips, Documentation Tips, Private Practice, Therapy Tips|

Many insurances require you to write a Biopsychosocial Assessment for new clients. A Biopsychosocial includes information that you gather from intake about the background of the client. You can discover a lot of information which [...]

Therapists Observations: Note Terminology

Counseling Tips, Documentation Tips, Private Practice, Therapy Tips|

Therapists observations need to be included in documentation but sometimes you're writing and you just can't think of the right words. Maybe you find yourself using the same affect words over and over. This post [...]

Writing Notes

Documentation Tips, Private Practice, Therapy Tips|

It's easy to let writing notes slide by thinking I'll get to it tomorrow or it isn't that important. However, if you don't keep up with your notes, you're doing your clients a disservice. Notes [...]

Documentation Basics

Documentation Tips, Private Practice|

Documentation is one of the biggest hassles in any therapy job. It's really no different in private practice. There are some basic parts of your therapy that need to be documented for insurance panels to [...]

Progress Note Basics

Documentation Tips, Private Practice|

There are a few progress note basics that every therapist should know. But most educational programs do not focus on how to write notes. They focus more on therapy than notes. I think they assume [...]

Documentation Reviews

Documentation Tips, Private Practice|

Documentation is not the fun part of being a therapist. Most of us don't enjoy it at all. But documentation has to be done for insurance reimbursement. Regular documentation reviews can help you keep your [...]

10 Reasons for Good Documentation

Documentation Tips, Private Practice, Starting a Private Practice|

Insurance companies require good documentation to reimburse for services. But even if you have a completely cash based practice, you need good documentation. Learn all the reasons why good documentation is important for a successful [...]