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Changing a Client's Diagnosis...

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22 comments

  • Gillian

    Hi Mary! To change a client's diagnosis, simply navigate to the original diagnosis that was entered on the client's Overview tab, and click "edit" when hovering your mouse over the diagnosis and treatment plan. Then, change the diagnosis, and update the timestamp of the diagnosis if needed.

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  • Mary Stanley

    Will this keep the historical record of the previous diagnosis or will this eliminate it? Thank you, Gillian.

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  • Gillian

    Hi Mary, this will eliminate the historical record - if you'd like to maintain the previous diagnosis, I'd recommend creating a new diagnosis and treatment plan entirely. 

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  • Mary Stanley

    Sorry this wasn't clear but that's what I was originally asking. Thank you. How do I do that?

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  • Gillian

    Hi Mary, to create a new Diagnosis and Treatment plan, click the +Create button on the client's Overview page. Then, remove the previous diagnosis, and enter the new diagnosis. The old diagnosis will still be retained, but the new one will appear on any future billing documents and in progress notes. 

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  • Mary Stanley

    Thank you. This is very helpful.

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  • Jennifer Walker

    Gillian, do you bill insurance? I have created a new diagnosis but find that both the original and the new show on CMS 1500. Wondering how to maintain historical diagnosis in chart but have only current diagnosis on CMS 1500. 

     

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  • Gillian

    Hi Jennifer! While I don't personally bill insurance, I'm part of the SimplePractice Customer Success team, and I'd be happy to help. If you'd prefer not to show multiple diagnosis codes on the CMS-1500, you can go to My Account > Settings > Billing and Services > Insurance and uncheck "Include multiple Diagnosis Codes" to show only the most recent diagnosis. 

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  • Jennifer Walker

    Thanks, Gillian. The problem with that solution is the most current diagnosis includes 2 Axis I diagnoses. So, if i uncheck the box, i don't include all of the current clinical diagnoses. 

    Any other ideas?

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  • Gillian

    Hi Jennifer, in that case, I would recommend removing the previous diagnosis and then adding a Chart Note to indicate the client's previous diagnosis. You can backdate the Chart Note to the date of the previous diagnosis to ensure that the date and time of the diagnosis is appropriately reflected on the client's chart, without pulling the previous diagnosis into claims. 

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  • Lena Sheffield

    I want to change the dx but keep record of the previous diagnosis.  When I'm on the client's Overview page, the Create button only shows new client or new appontment.  

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  • Ayelette

    Hi Lena,

    To add a new diagnosis to a client's profile:

    1. Go to the client's Overview page.
    2. Click +Create New > Diagnosis & Treatment Plan, as shown below.

    For more information an adding diagnoses to a client's profile, feel free to check out this Help Center guide: Diagnoses & Treatment Plans.

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  • Lena Sheffield

    I know how to create a new one... my question is will the old information remain in the record?  I'm afraid to create new and then loose the old history.

    Lena

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  • Ayelette

    Hi Lena,

    When you add a diagnosis to a client's profile, the new diagnosis will apply to subsequent appointments, however the previous diagnoses will remain on the client's profile.

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  • Layla Bushee

    The old diagnosis still shows up on the current assessment when I try downloading.  This is extremely frustrating!  There seems to be no way to include the new diagnosis on the new assessment.

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  • sharon manning

    Having same problem as Layla. Old removed diagnosis is still auto-populating on the super bill. The new diagnosis is not appearing.  The old diagnosis has been completely removed. The treatment plan is for the new diagnosis only. Please advise. Thank you

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  • Mary C. McGovern

    I am having the same difficulty - please provide better support.

     

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  • Mary C. McGovern

    I cannot find the +Create button you refer to.

     

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  • Dr. Abbie Kwitel

    Can someone please answer this question? My patients' old diagnoses shows up on their superbill along with the new one. How do we only retain the new diagnosis without deleting the old treatment plan?

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  • A. Barrie Bondurant

    Same problem. How to fix this. Please help. Want to update dx without removing history of previous dx

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  • Dr. Mason Shepherd

    I am also having this problem. I want to retain the old diagnosis in the record, add/update a new diagnosis, and reflect the new diagnosis on the SuperBill. For whatever reason, the old diagnosis still appears on the SuperBill.

    This seems like a relatively easy fix, from a programming standpoint, however, I'm not sure if Simple Practice is aware or concerned about this glitch seeing that the problem persists after four years, looking at the start of this thread. Can anyone help with this?

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  • Linda Bronzan

    Hi all. I believe I solved the issue!! 

    To end an old diagnosis from showing up on a superbill, you need to create a new blank DX & treatment plan. This means DON'T enter any new diagnosis. Instead, leave it blank and click on "skip to treatment plan". You can leave that part blank, too, or enter notes as to why you are ending the previous diagnosis in the text box. Double-check the date and time you submit the blank DX & treatment plan, then create a new Dx & treatment plan with the updated diagnosis and treatment plan. Just make sure the date and time are a few minutes after the blank one (mine was two minutes later). Now, all documents and superbills dated AFTER the last DX & Treatment plan you created will print with the updated diagnosis. Plus all the older notes and superbills will maintain the old diagnosis and not include the new one.  

    I hope this helps! 

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