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Documentation that never gets old!

Documentation that never gets old!

posted by: Nicole Hovey date: Mar 26, 2019 category: Blog comments: Comments Off on Documentation that never gets old!

One of the primary problems with Electronic Health Records in the Behavioral Health industry is change is constant; the clinical documentation you customize today will be outdated within months. It’s overwhelming to keep up-to-date with new CARF, Joint Commission, Payer, Managed Care, State or County regulations. After years of research and development, BestNotes is proud to release a series of pre-built clinical documentation and workflows that are regularly updated.

BestNotes now offers two documentation profiles depending on your clinical focus: Behavioral Health or Addiction Treatment. The clinical workflow begins at admission and continues through the following treatment process:

Addiction Treatment Profile

Admissions / Intake
Online Patient Application
Pre-Screen
Assessment
Comprehensive Diagnostic Assessment (Multi-Dimensional Format)
Psychiatric Evaluation
History and Physical
Treatment Planning
Master Treatment Plan
Treatment Plan Review
Treatment
Individual Progress Note
Group Progress Note & Report
Medical/Psychiatric Progress Note
Collaboration of Care Note
Drug UA Note & Report
Treatment Team Note
Utilization Review document
Continuity of Care
Discharge Summary

Behavioral Health Profile

Admissions / Intake
Online Patient Application
Pre-Screen
Assessment
Comprehensive Diagnostic Assessment
Psychiatric Evaluation
Substance Use Assessment (Dimensional Format)
Case Management Assessment
Peer Support Assessment
Recovery Coaching Assessment
Treatment Planning
Master Treatment Plan & Review
Case Management Plan
Skill Building (CBRS) Plan
Peer Support Plan
Recovery Coaching Plan
Treatment
Individual Progress Note
Group Progress Note
Medical/Psychiatric Progress Note
Case Management Progress Note
Peer Support Progress Note
Recovery Coaching Progress Note
Skill Building/CBRS Progress Note
Client Status Report
Collaboration of Care Note
Continuity of Care
Discharge Summary

Never worry about being out-of-date with your clinical documentation again. Updates happen automatically so you’ll always be ready for your next audit. If you have any questions or would like to review this project more in depth, please contact us at 866-543-6646 or email us at team@bestnotes.com.

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