Home About
HOW I CAN HELP
EMDR Consulting Documentation Training Free Guide Get Individual Therapy
Contact
• ON-DEMAND COURSE •

Complete Guide to Documentation for Trauma Informed Therapists

An online course to help trauma informed therapists learn the essentials of clinical documentation.

Feel confident about your client’s chart.
I need this course!
 

This on-demand course gives you the tools you need to make clinical documentation easy.

The Complete Guide to Documentation for Trauma Informed Therapists training gives you the essentials of what you need to know about documentation from intake through discharge.

Did you know: Artificial intelligence will likely be conducting chart reviews! 

ARE YOU READY FOR THIS?!

The Complete Guide to Documentation for Trauma Informed Therapists provides simple, easy to implement guidelines on clinical documentation - specifically designed for trauma therapists. 

From intake to discharge, you’ll have a clear understanding of what to include in your charts and how to document everything. Plus, I’ll give you templates to make it easy to implement.

You will go... 

✓ From avoidant to proactive

✓ From overwhelmed to confident

✓ From fearful of audits to ready for chart reviews

I’m ready to get started!

What You Will Learn


Module 1: Introduction 

Module 2: Medical Record Essentials

Module 3: Intake Assessment

Module 4: Diagnosis and Treatment Plans

Module 5: Progress Notes

Module 6: Discharge Notes

Module 7: Contact notes, Psychotherapy Notes, & Risk Management Notes

 

Handouts You Will Receive

+  2 Intake Assessment note templates

+ Progress Note Template

+ 2 Discharge Note Templates

+ Most Commonly Used ICD-10 Codes

+ Medical Necessity Justification for 90837 Extended Psychotherapy Sessions

+ Justifications for 90785 Interactive Complexity Add-on

Learning Objectives

After this training, you will be able to:


+ Learn the essential information required in your medical records for comprehensive and compliant documentation

+ Learn the importance of clinical documentation in trauma therapy

+ Develop SMART goals to create treatment plans that not only drive patient progress but also resonate with insurance providers.

+ Document medical necessity for 90837 sessions to protect you from audits

+ Provide adequate justification for 90785 interactive complexity to increase your reimbursement amounts for complex interactions.

+ Develop a comprehensive understanding of  CPT codes for therapy and their associated time constraints, ensuring you optimize billing and reimbursement.

+ Craft trauma session documentation that aligns seamlessly with insurance requirements

+ Gain clarity on distinguishing psychotherapy notes from progress notes

+ Learn the 'Golden Thread' of clinical documentation and how it aids in creating a seamless narrative that enhances client care, bolsters compliance, and secures reimbursement.

 

Course Length: 2.25 hours

Any of these sound familiar?

+ You love the clinical work... but lack understanding of what you need for paperwork.

+ You would freak out if you were audited by an insurance company.

+ You are unsure what to include in your documentation.

+ You aren’t serious about documentation because you are self pay.

Writing notes does not have to be stressful.

This course teaches you step by step what to include in your documentation from intake through discharge so you can feel confident that you and your clients are protected.

âś“ Be Confident in Your Documentation

âś“ Protect Your License

âś“ Avoid Insurance Clawbacks

I’M READY FOR THIS COURSE!

Who is this course designed for?

+ Psychologists.

+ Social workers.

+ Counselors.

+ Graduate students.

+ Postdoctoral fellows.

+ Insurance based clinicians and self pay clinicians.

+ Early career therapists and experienced therapists.

I’M READY FOR THIS COURSE!

About Dr. Elaine Espada 

Dr. Espada Is a licensed clinical psychologist and the founder of Beacon Therapy Group, a trauma focused group practice in the Boston area. I have been trained in various trauma modalities - EMDR, AEDP, IFS, ego state, hypnosis, polyvagal theory among others. I am passionate about integrating these modalities in thoughtful ways for my clients. 

As a group practice owner, I have extensively learned what is needed for documentation and the challenges that clinicians face with documentation. I strive to simplify documentation for trauma informed therapists so we can focus on the clinical work. 

get the course

About Dr. Elaine Espada 

Dr. Espada Is a licensed clinical psychologist and the founder of Beacon Therapy Group, a trauma focused group practice in the Boston area. I have been trained in various trauma modalities - EMDR, AEDP, IFS, ego state, hypnosis, polyvagal theory among others. I am passionate about integrating these modalities in thoughtful ways for my clients. 

As a group practice owner, I have extensively learned what is needed for documentation and the challenges that clinicians face with documentation. I strive to simplify documentation for trauma informed therapists so we can focus on the clinical work. 

get the course

Choose Your Payment Option:

The scaled pricing offers three options rather than one fixed price. This structure makes it possible for more people to access the program from those who would benefit from support from the community to those who have access to more resources. Your purchase also helps us to create therapy scholarships for clients at Beacon Therapy Group. Please choose the option that feels appropriate to you and your circumstances.

Rebalancing
Access

For those with more than enough financial resources and a desire to support access for others to help rebalance systemic inequity.

$175

buy now

Fair
Access

For those with sufficient financial resources and who can pay fair value for the experience.

$149

buy now

Supported
Access

For those with currently limited financial resources who will benefit from access supplemented by the community.

$125

buy now