Mental Health Humor Cartoon – Gorski On Charting for Medivance Billing
Here is what Terry Gorski says about 5 different Screenings.
1. Screening Interviews: What goes on in the initial telephone screening and the first face-to-face screening will affect the initial approvals in general and the number of units of services (days in treatment, treatment sessions, etc.) approved.
2. Initial Assessments: The initial period of treatment involves patient engagement, stabilization, motivation, and the completion of an in-depth assessment-self-assessment process that forms the basis for the second period of treatment, The Intensive Rehabilitation Phase. Many third parties approve care for an initial period of time and then review and evaluate progress and problems at predetermined periods. The American Society for Addiction Medicine (ASAM) Patient Placement Criteria are the gold card system for admission, continuing care, and discharge criteria.
3. In-depth Assessment-Self Assessment and Short-term Treatment/Recovery Plans: This is usually done in the first phase of treatment where an in-depth clinical profile of the patient and their recovery needs is developed. This is vital to showing the need for continuing treatment.
4. Treatment Plan Implementation: This is usually done in progress notes. A common problem, especially for programs using large group psycho-educational sessions and more intensive group therapy is getting the documentation to reflect implementation of the treatment plan.
5. Continuing Care Planning: The main goal is to educate, motivate, and move on to the next step in a long-term chronic disease management model. This is usually done in stage three of rehabilitation as patients are getting ready to step-down the intensity of the treatment and building reliance upon community-based recovery support groups such as http://www.smartrecovery.org, Alcoholics Anonymous (AA) and related Twelve Step Organizations.