Save hours of time on documenting and simultaneously satisfy billing & coding data requirements with less effort than ever.
Easy-to-edit Templates
Customizable for each unique client. Save directly to your computer to copy and paste into your EMR.
Expedited Data Collection
Present professional intake forms to your clients that improve communication and speed up your documentation process.
Real-world tips to document more efficiently.
Because your job isn't supposed to be administrative -- apply my tips and focus more of your time on clients who need you.
I know billing is confusing. I created the flowsheet below as a tool to visualize the most common CPT codes for PMHNPs. Inside the course, find a printable version of this alogrithm PLUS the decision-making flowsheet, and templates for new & established client encounters to ensure you meet documentation requirements.
With multiple audiences scrutizing your charing for every minute detail, trying to finish a satisfactory SOAP note for every client can feel overwhelming. In this resource, I break down each of the requirements into easy-to-satisfy pieces of data organized under the SOAP format (and I include other formatting examples if SOAP isn't your preferred method).
Prove the medical necessity of your services.
Address how your services help the client meet his, her, or their goals.
Document functional impairment.
Make your planned interventions clear.
Phrase your observations in a way that won't affect rapport with your clients when they read your notes.
Are you spending too much time each week on documentation (or just avoiding documentation altogether) ?
Fast, effective, thorough, and timely charting shouldn't be taking time away from clients or your family.
I developed a streamlined HPI & SOAP-formatted interview prompt.
I created a comprehensive, 12-page intake form to capture all the history and subjective data you need on any client.
I created a pool of commonly-used blank assessment forms that you can quickly, easily access by diagnosis, all in one place.
I drafted templates that form the backbone of any note you need to write.
I bundled all of these resources into a single platform that you can access from any device with internet access, forever.
I formatted this resource as an e-course for its versatility.
Navigate straight to the resource that you need anywhere you have internet access.
How much time do you spend gathering data from your new clients? I created a comprehensive, easy-to-use intake form that looks professional and prompts your clients to share the information you need to provide the best care possible. Download the 12-page document inside.
Are you a PMHNP student?
My guides can help facilitate learning to write effective SOAP notes for class and set you up for success after graduation in the field.
Learn the components of effective SOAP notes.
Build time management habits you can apply as soon as you're licensed.
Lock in lifetime access to my database of blank screening and assessement tools.
Access on mobile.
The reviews keep coming!
RN-MSN, Entrepreneur, Writer, Documentation Expert.
It's true, I have a passion for documentation in nursing. When I worked bedside, mastering my documentation gave me a sense of control over chaotic shifts. I quickly became the go-to resource amongst my team of nurses for documentation-related questions. I completed my MSN degree in Forensic Nursing with a thesis centered around the legalities of nursing documentation with the goal of making the gray part of medical records as clear as possible for my fellow nurses.
Since that time, I've published multiple resources on nursing documentation with best-sellers in the categories of Medical Records, Medical-Surgical Nursing, and Nursing References. I have a desire to empower every PMHNP with the knowledge and resources they need to charge effectively without letting documentation take over their lives.
I am confident this resource will save you time and frustration, answer questions you didn't even know you had, and empower you to take charge of your documentation rather than allowing medical records requirements to dictate your schedule.
"Sounds great, but I'm sure you're going to charge $300 or $400 for the course, right?"
I certainly put enough hours into creating this site to justify it.
But I don't want price to be the reason you opt out.
For less than one hour's pay, gain lifetime access to this resource and use it to streamline every aspect of your documentation.
$397
$29.00
"What happens after I checkout?"
I organized these templates and information into an e-course format so that you can create an account that you can access from any computer! The button below links to more information about your steps after you checkout.