“Auditing for clinical documentation” refers to a systematic review of client clinical records to ensure the accuracy, completeness, and compliance of the clinical information documented, often done to identify areas for improvement in services delivery and billing accuracy, while upholding the highest standards of client care. Helping professionals often report discontent with the drudgery of writing progress notes, but it’s a requirement within our profession. Why not do it correctly the first time, so if an insurance company wants to audit a sample of your notes, you will most likely pass with flying colors? This course will teach you the “what, where, when, and why” of clinical documentation, including intake assessments, progress notes, and treatment plans to help you feel more confident in your documentation skills.

Upon completion of this training, participants will be able to:

• Ascertain the importance of accurate documentation records
• Gain confidence in utilizing various progress note documentation templates
• Utilize the S.M.A.R.T. Treatment Goals when assisting clients with creating a collaborative treatment plan.