Mental Health Chart Audit Form Printable Example Word Doc This is the standard review tool used for all behavioral health records Additional indicators may be included based on regulatory and or customer requirements A General 1A Record is legible 2A Consumer name or ID number noted on each page of record 3A Entries are dated and signed by appropriately credentialed provider 4A Record
The purpose of this instruction manual is to provide an in depth understanding about how to effectively and efficiently review a clinical chart using the Behavioral Health Clinical Audit Tool as developed by AHCCCS It is AHCCCS expectation that the audit process satisfies ADHS requirements identified under Complete clinical case formulation is documented in the record e g primary diagnosis medical conditions psychosocial and environmental factors and functional impairments 9 10 An initial primary treatment diagnosis is present in the record 11 A behavioral health history is in the record 12
Mental Health Chart Audit Form Printable Example Word Doc
Mental Health Chart Audit Form Printable Example Word Doc
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Mental Health Chart Audit Tool Template
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Cigna Behavioral Health Use of this tool is not required but can serve as a resource to assist in a treatment record review audit with Cigna Scoring options Continued on the next page Items 18 21 are not scored They are for informational purposes only Mental Health Audit Tool Name of Care Service Address Date of Inspection This audit tool is designed to assist Professional Advisers and The Care Inspectorate Inspectors in identifying good practice in relation to services which provide care for those with mental health problems
For Options 2 and 3 Providers must complete items 1 17 in the Provider Self Auditing Form and receive written approval from the CBH Compliance Department before initiating a self audit A time frame for the completion of the self audit will be included in the written approval 2 Claims Overpayment Spreadsheet For members 6 18 years of age there is evidence of the CALOCUS being utilized as part of the assessment For members 19 years of age and over has at least a score of three on the level of care or a composite score of 17 19 on the level of care utilization system LOCUS or documented why not
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Chart Review Requirements A A A Chart Review Tool for both Directly Operated Legal Entities Supplemental Chart Review Tool for Day Programs Legal Entities Only Reasons for Recoupment FY 22 23 QA Requirements for Directly Operated QA Written Process for Directly Operated QA QI Report for Legal Entity Contractors MAR chart to audit this area 4 If there are no patients that cover all aspects eg no one taking warfarin consider re auditing when possible 5 Complete the Action required column including realistic target dates 6 Re audit as necessary Date Completed by General Findings Action required Has a black pen been used for completion
What is a Chart Audit FREE 6 Chart Audit Forms in PDF Excel 1 Sample Chart Audit Form more What is a Chart Audit Chart audits are documents usually used for clinical purposes Just like other audit forms this file helps a person determine areas with defects or lapses that need to be improved It works closely like a quality audit form This manual provides the documentation standards for mental health services provided by all BHRS programs including our contracted provid ers The manual provides a general description of services and service de nitions and is a day to day resource for both clinical and administra tive support sta
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This is the standard review tool used for all behavioral health records Additional indicators may be included based on regulatory and or customer requirements A General 1A Record is legible 2A Consumer name or ID number noted on each page of record 3A Entries are dated and signed by appropriately credentialed provider 4A Record
https://www.azahcccs.gov/Resources/Downloads/BehavioralHealthClinicalChartAuditInstructionGuide.pdf
The purpose of this instruction manual is to provide an in depth understanding about how to effectively and efficiently review a clinical chart using the Behavioral Health Clinical Audit Tool as developed by AHCCCS It is AHCCCS expectation that the audit process satisfies ADHS requirements identified under
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Mental Health Chart Audit Form Printable Example Word Doc - Mental Health Intake Evaluation Forms The Mental Health Intake Evaluation Forms describe background information basic medical history and current functioning such as mood and thought processes needed for the intake process Documents are in Microsoft Word docx format
