Welcome to Headway's Resource Hub for psychiatrists and nurse practitioners!
One of our goals is to take the guesswork out of accepting insurance, which includes setting our providers up for success should insurer audits come around.
Staying up to date on best practices around Evaluation and Management codes and Medical Decision Making help set you and your practice up for success. This article includes links to live sessions, Headway Academy courses, Help Center articles, and external trainings to help set you up for success.
Check out the resources below in order to:
- Gain confidence in billing and writing compliant notes
- Avoid errors and minimize legal and financial risks
- Maintain high standards of patient care and efficiency
Guides for meeting documentation & quality standards
Headway is deeply committed to clinical excellence. We believe in supporting our providers in delivering high quality, evidence-based treatment that is matched to the individuals’ needs. Please review the below guides that ensure meeting both documentation and quality standards.
Click on any of the following links to learn more:
Desk references
Save these PDFs to your desktop, and refer to them as much as needed for ongoing learning and review.
- Billing & Coding: Desk reference
- 99214 + 90836 E/M with Psychotherapy: Example note
- Documentation Requirements: Essential components of an intake
- Documentation Requirements: Prescribing controlled substances
Help Center articles
Reading materials provided through Headway's Help Center.
- Documentation Requirements: Quality prescriber intake notes
- Documentation Requirements: Progress note tips
- Billing Requirements: E/M codes
- Billing Requirements: Medical necessity
- Billing Requirements: Compliance deadlines for clinical documentation
Headway Academy courses
Asynchronous, self-paced learning courses offered through Headway Academy to learn more.
- Mastering Psychiatric Assessments: Key Components of the Diagnostic Clinical Interview
- Mastering Diagnosis: Formulation for the Prescriber
- Medical Decision Making [15 min]
- Medical Necessity [10 min]
Live offerings
We offer live opportunities for psychiatrists and nurse practitioners – group office hours with Headway's Certified Auditor and Medical Coding Specialist to provide personalized guidance and answer your questions. Sign up using the link below.
- Coding and Documentation Group Q&A w/ Jessica CPC, CPMA – every Wednesday and Thursday (spots limited).
Recorded webinars
Revisit conversations with Headway experts on clinical quality topics.
External trainings
PESI is a leading provider of continuing education (CE) for mental health and healthcare professionals, partnering with Headway to offer CE credit. The courses below are related to Evaluation and Management codes and Medical Decision Making, recommended by our clinical team:
- [6 CE/CMEs] Mental Health Documentation & Medical Necessity: Simple, Clear Guidelines that Maintain Quality of Care and Protect Your Practice
- [6 CE/CMEs] Mastering Differential Diagnosis with the DSM-5-TR™: A Symptom-Based Approach
- [6 CE/CMEs] High Risk Clients: Effective Clinical Interventions for Client Emergencies
- [4.25 CE/CMEs] ADHD Assessment for Adults: Overcome Treatment Obstacles, Identify Co-Morbidities & Resolve Diagnostic Dilemmas
- [2 CE/CMEs] Crisis Response Planning (CRP) for Preventing Suicidal Behavior
- [1.5 CE/CMEs] Medication Treatment of Substance Use Disorders
To learn more about accessing PESI, visit our article: Using Violet and PESI for continuing education with Headway.
Documenting the prescribing of controlled substances
Controlled substances play a crucial role in managing many mental health conditions, but with that comes responsibility. We want to equip you with the knowledge and tools to prescribe these medications safely and responsibly, so your patients get the care they need.
Please refer to refer to our documentation guidance PDF below, as well as our Headway Academy Course - Controlled Substances: Documentation and Compliance for Prescribers.