BestNotes Clinical Profile
- Ready-to-use Clinical Documentation
- Audit & Accreditation Compliant
- Pre-programmed for Intelligent Movement of Data
- Automatic Updates
The BestNotes Clinical Profile was created to eliminate anxiety about new regulations and audits. The clinical documentation and workflows of the profiles adhere to common State regulations, UnitedHealth’s (Optum) level of care guidelines and audit tools as well as standards recommended by The Joint Commission and CARF. Our in-house Clinical team has worked hard to maintain an efficient workflow by eliminating redundancies and double-data entry. The best part – BestNotes will automatically update and maintain this documentation for you!
BestNotes Clinical Treatment Profile Content
Online Patient Application and Pre-Screen
Admissions/Intake Assessment
Biopsychosocial/Comprehensive Diagnostic Assessment (Multi-Dimensional Format)
Psychiatric Assessment
History and Physical Exam
Medical Assessment
Initial and Master Treatment Plans
Discharge Summary
Case Management Assessment and Plan
Case Management Discharge Summary
Progress Notes: Clinical, Medical, Psychiatric, CBRS, Peer Support/Recovery Coach, and Case Management
ASAM Level of Care Criteria Note
Group Therapy Note
Drug UA Results Note & Report
Operational Support
Collaboration of Care Note
Missed Service Note
Unscheduled Encounter Note
Treatment Team Note (Staffing)
Utilization Review