*Diagnoses must be entered within 24 hours of completing intake to obtain authorization for services.*
Open the client's chart via name or case number.
Under Client Menu (left of screen) click on DSM
Click on Add New DSM at the top of the page
This is what you should see:
Each section has a drop-down menu.
Diagnosis Date: prepopulates with today's date
Effective Date: set to date of intake
Type: Initial for first-time appointments or Update for clients that need something added
Click on Add Diagnosis
This is what you should see:
Diagnosis: click the drop-down box to choose the correct diagnosis for your client.
Specifiers: Add as appropriate
Comments: Add as appropriate
Indicate whether the diagnosis is Provisional or a Rule Out
Order: Choose the priority order Click Save
To add additional diagnoses, click Add diagnosis and repeat the steps above.
Skip GAF as this is no longer required.
If you need more information, you can click Save to come back to it later.
If you are conditionally licensed, select the supervisor's name from the drop-down menu before signing, to send for review.
If you are independently licensed, enter your password and click Sign to finalize.
Note: No changes can be made once the document is signed.
Important Note: If Amy contacted you to complete the DSM, please email her to let her know the DSM has been completed so she can submit your authorization to Kepro.