Common use of Progress Notes Clause in Contracts

Progress Notes. 3.7.1. CONTRACTOR shall create progress notes for the provision of all SMHS services provided under this Agreement. 3.7.2. Each progress note shall provide sufficient detail to support the service code selected for the service type as indicated by the service code description. 3.7.2.1. Should more than one provider render a service, either to a single member or to a group, at least one progress note per member must be completed. The note must be signed by at least one provider. The progress note shall clearly document the specific involvement and duration of direct patient care for each provider of the service. 3.7.3. Progress notes for all non-group services shall include: 3.7.3.1. The type of service rendered. 3.7.3.2. A brief description of how the service addressed the member’s behavioral health need (e.g., symptom, condition, diagnosis, and/or risk factors). 3.7.3.3. The date that the service was provided to the member. 3.7.3.4. Duration of the patient care for the service. 3.7.3.5. Location/place of service. 3.7.3.6. A typed or legibly printed name, signature of the service provider and date of signature. 3.7.3.7. A brief summary of Next steps, including, but not limited to, planned action steps by the provider or by the member, collaboration with the member, collaboration with other provider(s) and any update to the problem list as appropriate.