Blog
Come Documentare le Sessioni di Specialisti in Supporto tra Pari e Recovery Coach
Una guida pratica per specialisti certificati in supporto tra pari e recovery coach: cosa documentare, cosa evitare, come soddisfare i requisiti di fatturazione Medicaid e come applicare il 42 CFR Part 2 nei contesti di disturbi da uso di sostanze.
How to Document Perinatal and Postpartum Mental Health Sessions
A practical guide for therapists treating perinatal mood and anxiety disorders (PMADs). Covers Edinburgh Postnatal Depression Scale documentation, perinatal risk assessment including infanticidal ideation screening, medication documentation during pregnancy and breastfeeding, OB/GYN and pediatrician coordination, telehealth considerations, and billing requirements.
How to Document Person-Centered (Rogerian) Therapy Sessions
A practical guide for therapists trained in person-centered therapy on how to document sessions that capture therapeutic relationship quality, unconditional positive regard, empathic understanding, congruence, and client self-exploration depth using SOAP, DAP, and BIRP formats without reducing the approach to technique-driven language.
How to Document Personal Injury Cases and Client Communications
A practical guide for solo and small-firm personal injury attorneys and paralegals on documenting PI cases from intake through settlement or trial. Covers client intake, medical records organization, demand letter preparation, settlement negotiation tracking, lien documentation, adjuster communication logs, litigation holds, and case chronology.
How to Document Personal Injury Cases and Demand Packages
A practical guide for personal injury attorneys and paralegals on documenting cases from initial intake through demand package preparation, settlement negotiation, and litigation file management.
How to Document Pharmacy Medication Therapy Management Consultations
A practical guide for pharmacists on documenting MTM encounters, comprehensive medication reviews, targeted medication reviews, medication action plans, CMS program requirements, and CPT billing codes 99605, 99606, and 99607.
How to Document Physical Therapy Evaluations and Treatment Sessions
A comprehensive guide for physical therapists on documenting initial evaluations, daily treatment notes, re-evaluations, discharge summaries, and Medicare/insurance compliance. Covers outpatient and home health settings with SOAP note examples and common claim denial pitfalls.
How to Document Play Therapy Sessions
A practical guide for child therapists on documenting play therapy sessions where interventions are non-verbal, symbolic, and process-oriented. Covers directive vs. non-directive approaches, developmental themes, parent consultation, and common documentation mistakes.
How to Document Private-Pay Therapy Sessions Without a Full EHR
A practical guide for private-pay therapists on what documentation to maintain for liability protection and clinical quality, which note formats work best without insurance overhead, and how to keep your records organized without paying for features you will never use.
How to Document Prolonged Exposure (PE) Therapy for PTSD
A practical guide for trauma therapists on documenting Prolonged Exposure therapy. Learn what to capture across each PE component, how to track SUD ratings over time, what VA auditors and insurance reviewers need to see, and how PE documentation differs from EMDR and CPT.
How to Document Psychedelic-Assisted and Ketamine Therapy Sessions
A practical guide for therapists and clinicians working in ketamine-assisted, MDMA-assisted, and psilocybin-assisted therapy settings. Covers preparation documentation, dosing session notes, integration sessions, informed consent specifics, adverse event reporting, and regulatory compliance requirements.
How to Document Psychiatric Intake Evaluations and Comprehensive Diagnostic Assessments
A practical guide for psychiatrists, psychiatric nurse practitioners, and clinical psychologists on documenting initial psychiatric evaluations and comprehensive diagnostic assessments that satisfy clinical, billing, and audit requirements.