Include session start and end times on progress notes
Allow me to enter the start and end time of the session on a progress note because payers require this and it's easier to enter the times than adjust the duration.

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Anmarie Reed commented
Providers can get insurance clawbacks for having the same start and stop time on every note-- this needs to be changed immediately! Very unacceptable that the time can't be modified
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Irina Alexander commented
Yes, please!!!
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Charlese Nash commented
Hello for insurance claims we need to have a place in the progress note that we can update the time accurately to how long the session is.
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Robert Lannerd commented
It would be great to add an end time on session notes! This would greatly improve accuracy for billing
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Alycia Straeter commented
It would be helpful if start/end time blanks could be linked to the "duration" box instead of strictly the calendar appointment times because I may have a client on my calendar from 11-12:00 with the appropriate billing code (so when I do the note, it will show 60-minute duration) but I may only see them 57 minutes, for example, and I would love to be able to have the duration mimic the start/end time indicated in the assigned boxes rather than have to change the actual calendar appointment times (which would send a notification to clients) or otherwise do the math and have to change the duration manually.
Thanks! -
AdminSarah M (Admin, theranest) commented
Add labels to the time that is displayed on the printed progress note, such as "Start Time" and "End Time" so that it's clearer to payers.
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Ayne Shore commented
As others have stated, including an end time is critical for billing Medicaid, Medi-Cal, Medicare and other insurance companies. Without the end times stated on the note, if a therapist gets audited, they can be forced to pay back the insurance company or Medicare, etc., for the sessions. This actually happened to a colleague of mine.
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Sara Turner commented
Hello! I think it would be really helpful to add a session start time and session end time to the note. This is required for any insurance case review and I would love it if it was easy to add to a note. Thanks!
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Amanda Dafoe commented
It would be good to have a way to input actual start and end times for appts as part of the progress note. Enabling this feature to populate the "duration in minutes" field with an accurate session length would also be handy. As of right now I am just writing the start and end time at the beginning of my progress note. While this will hopefully suffice for insurance requirements, it would just feel more streamlined to have it as part of the notes' details at the top of the document (maybe right below the "duration" text).
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Christopher Ross commented
Appointments seem to snap to time increments but often billing requires exact times. Rather than having to write this in the body of the note it would be helpful when writing the note to be able to adjust the exact time the appointment started and ended.
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stephanie souza commented
per NASW need start and end time, so should be able to change both based off actual appointment time not just calendar. ie scheduled for hour, see for 54 minutes. need to be able to put 4:05 util 4:59 end time
also be able to change CPT code in note and link to billing and appt so dont have to go backwards. -
Talia Stephens commented
Once a client is scheduled, can a therapist change or verify the time if the session ends earlier or later prior to the parent signing the note
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Donna Massey commented
Hello,
I am wondering if we can add another box under service date and time. The service date and time indicates the time we intended to spend 4:00pm - 5:00pm as an example. However, if we started session at 3:45 and ended at 5:45 that is a 90 minute session. Once the time stamp is completed, the duration box should automatically add up the time spend in session. Some is helpful because the insurance will pay for the extra time spent (add on codes etc) AND as an administrator, I can see exactly how clinicians are doing with their time management. Also, the time stamp should not be able to be altered manually by typing in the time. This holds clinicians accountable and really helps us with billing. This is a much needed feature, thank you. -
Melissa Nelson commented
You can do this by changing the start time in the progress note and adjusting length of treatment. this only works in the desktop version but not in the app.
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Melissa Nelson commented
You can edit the start time and duration in the progress note on the desktop site but not in the app.
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Jennie Wilson commented
I really like (and need) this feature because the insurance companies we bill to, require us to be specific.
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Anonymous commented
agreed
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Anonymous commented
agreed, this is a problem. i can't use the feature because it changes the time to 60 minutes. i tried to use this feature the other day and got stuck with the 60 minutes.
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Victoria Haag commented
Yes...this is required by insurance companies!
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Peter commented
For us, not having exact minutes is a real liability as our funder requires exact times.