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.

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!

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).

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.

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.

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

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.

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.

You can edit the start time and duration in the progress note on the desktop site but not in the app.

I really like (and need) this feature because the insurance companies we bill to, require us to be specific.

agreed

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.

Yes...this is required by insurance companies!

For us, not having exact minutes is a real liability as our funder requires exact times.

The new update that links appointments on the calendar to progress notes also removes our ability to adjust the session time. If we use the "missing progress notes" feature then all of our notes are locked into 60 minute sessions. It would be nice to make the time in session adjustable so that we may accurately record our time with each client in the system.

yes, please add end time to session notes. showing exact start and stop times is an insurance requirement. thank you.

I agree and would also like to see this added. I was at a conference for MHCA this past week and was told that the notes cannot just have start time and duration, but must have documented time out. I think a calculated time from the start time and duration would be the perfect way to comply.

I would really like to see this added as well. We have been informed by our local blue cross that it's required...apparently the start time and duration of session aren't enough. So, I'm trying to remember to type in the end type into my note but find without the prompt, I tend to forget!

The end time, as I understand it, is a requirement for insurance companies vs. just length of time in session. Even if there is a 'calculated' field that takes start time and adds the length of service. We all want to be in compliance with our notes and this is an important detail.

Insurance companies want the start time of sessions and the end time of each also. Would be helpful to have these clearly listed on each progress note.