MH DHS revised guidelines for Brief Diagnostic Assessments – Actually Makes Them More Brief

As of 12-17-17, DHS significantly reduced the requirements for Brief DAs, and increased the number of therapy sessions that can be provided prior to completing the Brief DA to three sessions.  These changes delete eight previously required sections, making the Brief DA truly more brief.

Paying your billing service by percentage of claims – is there risk? (Maybe)

The medicaidlaw-nc blog posted “Do You Pay Your Billing Agent a Percentage of Claims? You May Be in Violation of Federal law!” on 7-12-17.  Obviously, this is an attention-getting title, so let’s begin with a deep breath and some background about the source.  This blog is posted regularly by Nicole Emmanuel, a lawyer in North Carolina who specializes in Medicaid litigation.  She blogs regularly about Medicaid issues, with her intended audience being NC medical professionals but MHConcierge finds her posts to be informative about national issues and monitors her blog.

Can Your Patient Secretly Record You?

JAMA Published “Can Patients Make Recordings of Medical Encounters?: What does the Law Say?” On 8-8-17. This article discusses the fact that recording technology is now readily available for every smartphone user. The authors note that the motivation for for recording may be entirely reasonable; the patient may simply want to be able to review the discussion in order to improve their understanding of the information provided, and possibly to share this information with family members. Researchers found that patients who are provided audio recordings of clinic visits tend to find them to be very helpful. But, what about patients

Patient access to medical progress notes improves self care: implications for mental health?

OpenNotes: Patient engagement with low physician hassle discusses evidence emerging that the OpenNotes pilot project, which enables patients to see their physicians progress notes in their medical record, is finding positive results. Physicians had been concerned that having progress notes available to patients would result in longer appointments, more documentation time and increased patient anxiety about what they read, but this is mostly not the case.