Is it a billable service if a clinician is reviewing previous assessment paperwork during their own assessment period?
Reviewing a previous assessment or other documentation is a billable service to Medi-Cal. It is expected that the progress note documenting the review will provide a summary of the information reviewed, and how this information will be used as part of the assessment process. Also, please be aware that the progress note should clearly support the amount of time billed for this service, and must specify where the reviewed documents are located in the chart. For example: a psychologist bills for reviewing prior psychological testing. The progress note should document a summary of the previous findings, how this information will be used in the current assessment, and in what section of the chart a copy of such psychological testing report can be found.
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