Agenda
Training Topics
Info: Month 2 – Documentation Standards and Clinical Compliance
Focus: Ensuring clear, timely, and compliant documentation.
Topics
• Documentation best practices: timeliness, content, and corrections
• Progress note vs. therapy note
• Documenting health/safety, coordination of care, psychiatric evaluations, and Medic*tion consents
• Addressing service deviations (addendums, ABDs, corrective actions)
Objectives
• Strengthen documentation alignment with clinical standards and payer requirements
• Improve audit readiness and chart defensibility
Relevant Review Citations
• CWP P.1.3 / iSPA P1.A1 / SEDW P.3.3: Best practice for documentation of health/safety, coordination of care, psychiatric evaluations, and Medic*tion consent.
o Documentation Best Practices (Themes): Golden Thread, Timeliness, Progress note vs. therapy note, and Provider prescriptions.
o Monitoring Authorizations and Appropriate Documentation: Addressing service deviations and documenting corrective plans (addendum
Event Venue & Nearby Stays
1999 Walden Dr, 1999 Walden Drive, Gaylord, United States
USD 0.00
