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Chart Review

Chart Review. Diane Davis, LCSW. Consents. Informed Consent must…. o ne time only. HIPAA Privacy Practices. Acknowledgement of Receipt of the Medi -Cal Guide . one time only. Assessment. Goes into strangers homes . Has no friends. Fights resulting in ER visits.

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Chart Review

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  1. Chart Review Diane Davis, LCSW

  2. Consents

  3. Informed Consent must…

  4. one time only HIPAA Privacy Practices

  5. Acknowledgement of Receipt of the Medi-Cal Guide one time only

  6. Assessment

  7. Goes into strangers homes Has no friends Fights resulting in ER visits

  8. Secondary AOD Diagnosis?

  9. Client

  10. Arrests No friends Fights resulting in ER visits

  11. Observable

  12. Objectives must include all components

  13. Frequency Duration

  14. Signed by Clinician/LPHA If Integrated Plan-Psychiatrist must sign. No signature-No billing

  15. Must be signed, on time by client

  16. Timeline gaps = No billing

  17. Progress Note Format

  18. Describe Intervention Response Treatment

  19. Billable or Info Note

  20. Productions

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