• Ready-to-use clinical documentation
  • Audit & accreditation compliant
  • Pre-programmed for intelligent movement of data
  • Automatic updates

The Addiction Treatment Profile was created to eliminate anxiety about new regulations and audits. This clinical documentation and workflow adheres to common state regulations, UnitedHealth's (Optum) level of care guidelines and audit tools, as well as standards recommended by The Joint Commission and CARF. Our in-house clinical team has worked hard to maintain an efficient workflow by eliminating redundancies and double-data entry. The best part: BestNotes will automatically update and maintain this documentation for you!

Addiction Treatment Profile content

The documentation included in the Addiction Treatment Profile are listed below.

Admissions/Intake

Online Patient Application and Pre-Screen

Level of Care Criteria (Dimensional Crosswalk)

Assessments

Comprehensive Diagnostic Assessment (Multi-Dimensional Format)

History and Physical Exam

Psychiatric Evaluation

Nursing Assessment

Treatment planning

Master Treatment Plan

Utilization Review

Discharge Summary

Delivery of care

Progress Notes: Clinical (DAP & SOAP Styles), Psychiatric, Nursing, CBRS, Peer Support, and Case Management 

Group Therapy Note

Drug UA Results Note & Report

Operational support

Collaboration of Care Note

Missed Service Note

Treatment Team Note (Staffing)

Related articles

Addiction Treatment Profile updates



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