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Online Course Title: Clinical Documentation
  Category: 41
  Credits: 3
 
 
  Objectives:
  1. To reduce audit exceptions resulting from inadequate clinical documentation.
  2. To reduce auditor notations, and potential risk for the provider, by violations of commonly expected clinical documentation rules.
  3. To improve service treatment planning and delivery through better assessment, service treatment planning, and clinical documentation of progress toward goals.
  4. To increase intra-agency service effectiveness and efficiency and Inter-provider coordination of services.
  Description: Complete and accurate documentation of services for reimbursement by state Medicaid programs is a skill that a service provider can learn through increased knowledge of the requirements and through skill building in documentation. Except in the case of billing fraud, most audit exceptions are the result of inadequate documentation. Generally the service has been rendered but sufficient justification for that service has not been provided or even more frequently, the documentation does not follow commonly accepted rules for clinical record keeping. Poor patient records can cause agencies large paybacks. This web-based training is a learning tool for staff of Medicaid provider agencies to learn good documentation and to practice those skills necessary to reduce audit exceptions. The contact is also applicable for Medicare and other third party payors.
    Approval Bodies:
  • Professional Development
  • American Psychological Association
  • Florida Dept. of Health (Board of Social Work, Marriage & Family, Mental Health Counseling)
  • NAADAC, National Association for Addiction Professionals
  • National Board for Certified Counselors
  • Florida Board of Nursing
  • Ohio Board of Counselor, Social Worker and Marriage and Family Therapist Board, Expiration 03/31/2010
  • Ohio Chemical Dependency Professionals Board (R) (2005 to 2009)
  • IAODAPCA - Assessment & Crisis Intervention 2007/2009
  • Illinois Social Work Continuing Education
  • Association of Social Work Boards Approved Continuing Education (ACE)
  • CAADAC, California Association of Alcoholism and Drug Abuse Counselors
  • CAADE - California Association for Alcohol/Drug Educators
  • Pennsylvania Certification Board, 2007 / 2008
  • Texas Board of Examiners of Marriage and Family Therapists
  • Illinois Department of Financial and Professional Regulation, Marriage and Family Therapist
  • Pennsylvania Certification Board, 2009/2010
  • IAODAPCA - Assessment & Crisis Intervention 2009/2011
  • Ohio Chemical Dependency Professionals Board (R)
  • Ohio Board of Counselor, Social Worker and Marriage and Family Therapist Board, 04/2010 to 03/2012