Mental Health Progress Notes with No Typing Using Web Based EHR Software

By Phoebe Westerveldt


Running a mental health practice involves many processes and usually takes several people working together. Tasks like creating mental health progress notes can be time consuming. When you take advantage of electronic medical records or EHR software systems, the time you save can be spent on treating more patients. This translates into greater efficiency and a more profitable business. When you add the convenience of online access, these programs can make a big difference in the way you run your practice.

Progress notes and other mental health documentation can be complicated. If you create your notes manually, everything about the patient has to be written down. You also have to type, write, or dictate a detailed plan for treatment, including specific interventions and goals. EHR applications include special templates and/or pre-programmed button-driven content that can make writing out long explanations unnecessary.

Often, initial evaluation processes can be extensive. You may need several kinds of plans for mental health care, which may include intense therapy, medication, or other forms of treatment. You also have to ensure that your documentation supports the CPT or E&M code that you use for billing to protect yourself from an audit. It is not difficult to document these patient encounters with the right EHR software. In fact, the application does most of the work for you.

Effective EHR programs remove the challenges from managing your patient records. The application helps you keep track of all appointments. All aspects of treatment can easily be monitored. With electronic prescribing, you no longer have the need to write prescriptions. They can easily be sent directly to the pharmacy and there no issues with legibility. E-Prescribing also reduces the patient's waiting time at the pharmacy.

A valuable feature of effective EHR software is its charting capability. Initial evaluations, treatment plans, and progress notes are all easily charted, signed, and stored electronically. No more lost or misplaced paper files. Billing is also greatly simplified with the right software. This includes credit card payments and claims submission.

When you evaluate EHR software systems, it is important to find one that fills all of your needs. Make sure to purchase software that does not charge extra for support, as there are effective programs that offer support as part of their service. Choose software that comes with excellent telephone support. This way, you can reach someone right away, and talk to them for immediate resolution of your issue. The better products come with a free trial period, so you can test drive before you make a final decision.

When you select internet based software, security is of the utmost importance. Make sure that the application meets all of the HIPAA standards. You should have the benefits of data encryption along with user authentication and password protection. It is a good idea to have a program with administrative functions such as access control, as you may need to assign different privileges based on user type. The best EHR programs are also ONC-ATCB certified so that you can apply for federal meaningful use incentives if you are eligible.

When you choose a web-based EHR system for mental health progress notes and other features, look for one that specializes in behavioral health and does not require an annual contract. This way, you can cancel the service if you do not need it at some point. Choosing the right EHR software can make your job easier and benefit everyone in your practice.




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