Overlapping Service Issues
Different providers can have overlapping services and use same and/or different procedures for the same patient. The same provider can also have overlapping services using different procedures with the same […]
Choosing Procedures
Since July 1st ,2023, CalAIM/DHCS has released new changes in the CPT codes. We have provided a Outpatient MD Nurse Documentation Quick Guide (PDF) under the Prescriber, Nurses and Inpatient […]
Service Code Definitions
Clicking on your degree will give you a list of services you can provide with descriptions of those services.
How to Document Brief Interactions and Services
When you have a brief interaction with a client, you should still write a service note. There are non-billable procedure codes, such as Brief Contact that you can use as […]
How to Write a Psychiatric Service Note for an Unscheduled Service
1. Open the client’s chart. a. Click the Client Search icon. b. Type in the client’s name (last name, first). Note: You do not need to enter the entire name […]
How to Write a Psychiatric Service Note for a Scheduled Service
The Psychiatric Note in SmartCare is built around Evaluation and Management, or E&M billing. There are two ways to bill E&M: time-based billing and complexity-based billing. The Psychiatric Note accommodates […]
Prescriber’s Progress Note
How to Schedule Multiple Staff for a Single Appointment
Medication support appointments often include a nurse and a prescriber both in attendance. Since each service appointment is tied to a specific service, you’ll need to create a separate service […]
How to Amend a Note
Step by step video guide here: https://vimeo.com/799290227/28286ed170 Please be aware: you can only amend a note you have entered in the system. Find and open the note you need to […]
How to Create a Favorite Service Note (or Other Clinical Document)
Navigate to the Service tab, enter the information you want saved in your favorite, (e.g. program, procedure code, location, mode of service, etc.) Click the Add Favorite icon. Enter the […]