Transcription of CLINICAL DOCUMENTATION MANUAL - Contra Costa …
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CLINICAL DOCUMENTATION MANUAL - Contra Costa …
CLINICAL DOCUMENTATION GUIDE 2017 Contra Costa COUNTY BEHAVIORAL HEALTH Contra Costa County DOCUMENTATION MANUAL v 2017 2 TABLE OF CONTENTS Chapter 1 Introduction/Compliance Why do we have this MANUAL ? 4 Compliance 5 Utilization Review 6 Chapter 2 General Principles of DOCUMENTATION General Principles of DOCUMENTATION 7 Signatures 9 Co-Signatures 9 Chapter 3 Establishment of Medical Necessity Flow of CLINICAL Information 10 Assessment 10 Medical Necessity 11 Components of Medical Necessity 13 Diagnostic Criteria 13 Impairment Criteria 13 Intervention Criteria 14 Chapter 4 Treatment Planning Partnership Plan for Wellness 15 Client Participation and Signatures 16 Timeliness of Partnership Plans 16 Revisions to the Plan 17 Components of the Partnership Plan 17 Partnership Plan
This manual was developed as a resource for providers within the Contra Costa Behavioral Health ... Updates to this manual are done to address policy and regulation changes. When updates are available, ... Services can only be entered for billing if there is a corresponding progress note.
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