Transcription of CLINICAL DOCUMENTATION GUIDE - marinhhs.org
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CLINICAL DOCUMENTATION GUIDE - marinhhs.org
BHRS DOCUMENTATION manual v 1/17/2018 CLINICAL DOCUMENTATION GUIDE 2018 BEHAVIORAL HEALTH AND RECOVERY SERVICES BHRS DOCUMENTATION manual v 1/17/2018 2 CONTENTS 1 INTRODUCTION/COMPLIANCE Why Do We Have This manual ? 5 Compliance 6 2 GENERAL PRINCIPLES OF DOCUMENTATION AND AUTHORIZATION TIMEFRAMES 7 General Principles Of DOCUMENTATION 7 Signatures 9 Establishment Of Service Authorization Period 9 Timeframes For Submission Of DOCUMENTATION For Service Authorization Admission 10 3 ESTABLISHMENT OF MEDICAL NECESSITY 13 Assessment 13 Medical Necessity 15 Components Of Medical Necessity 16 Diagnostic Criteria 16 Impairment Criteria 17 Intervention Related Criteria 17 4 TREATMENT PLANNING 18 Client Plan
Jan 17, 2018 · This Clinical Record Documentation Manual is to be used as a reference guide and is not a definitive single source of information regarding chart documentation requirements. This manual includes information based on the following sources: Code of Federal Regulations (CFR) 45 and 42, the California Code of Regulations ...
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