Clinical Notes Are Legal Documents: Are You Sure You’re Documenting Correctly?
What actually needs to be in your notes, including for those in Private Practice
By Elizabeth Irias, LMFT (MFC #80500, CAMFT CEPA‐approved CE Provider #99380, CCAPP‐approved CE provider #5‐17‐274‐1119)
Presentation Length: 1 hour, lunch included

Date: February 9th, 2018
Time: 11:00am to 1:30pm PST
Location: Fairways Calabasas
Address23951 Craftsman Rd., Building B, Calabasas, CA 91302
Cost: Free
To Register: Email

Therapists and drug counselors are told time and time again that their notes are legal documents, yet they often receive very little training about what actually needs to be in them. Further, there are a number of myths that float around the therapist community that can get providers into serious legal trouble (for example: “Cash‐pay private practice therapists don’t really need to do notes,” or, “Notes need to be short and vague to protect client confidentiality.”). This presentation will provide insight for clinicians and counselors about what actually needs to be in their clinical documentation; many therapist do not realize that inadequate documentation can have grave consequences, including threats like loss of licensure and even time behind bars. In addition, this talk will offer clinicians guidance about how to integrate Medical Necessity into documentation practices, which may have the added benefit of improving authorizations granted by third‐party payers like managed care companies. This presentation will includes one continuing education credit of Law & Ethics for LMFTs, LCSWs, LEPs, and LPCCs, and one unit of continuing education for CCAPP drug counselors.

This course is designed for behavioral health providers (both in private practice and agency environments) who serve individuals who have mental health and addictive disorders. This presentation will cover the following topics:
● Some common ways in which therapists and counselors unknowingly put themselves at risk in relation to documentation practices
● Practical information about what needs to be in clinical documentation (assessment, progress notes, treatment plans)
● Strategies for clinicians about how to conceptualize Medical Necessity and integrate it into different clinical documentation components

Upon completing this course, participants will be able to:
● Demonstrate practical knowledge of the laws relating to behavioral healthcare documentation
● Integrate Medical Necessity and Best Practice into clinical documentation practices

This course meets the qualifications for ( 1) hour of continuing education credit for LMFTs, LCSWs, LEPs, and LPCCs as required by the CA Board of Behavioral Sciences.  Elizabeth Irias is approved by the California Association of Marriage & Family Therapists to provide continuing education for LMFTs, LCSWs, LEPs, and LPCCs.  Elizabeth Irias maintains responsibility for this program/course and its content.  CEU Provider #99380

This course meets the qualifications for ( 1) hour of continuing education credit for drug counselors, as required by CCAPP.  Elizabeth Irias is approved by CCAPP to provide continuing education.  Elizabeth Irias maintains responsibility for this program/course and its content. CCAPP‐approved CE provider #5‐17‐274‐1119