Measurement trends and documented functioning support every level-of-care change. Prior authorizations are built from the chart, and time bands are checked before signing.
IOP daily note
Intensive Outpatient · Day 12 · Great Lakes Community Health Plan
Hours of programming are missing. Continued-stay criteria need daily attendance hours.
Intensive Outpatient program template · Great Lakes Community Health Plan Exhibit C
Suggested fix: Add 3.0 hours from today's schedule, already matched to attendance.
What changes with Margent
Level-of-care evidence
Outcome trends and documented functioning support every step-up and step-down.
Prior auth assembled
IOP/PHP authorizations are built from the chart with payer criteria mapped.
Code-accurate notes
Time bands for 90832/90834/90837 checked before signing.
Each step names the product that does the work. A person approves anything that leaves the building.
PHQ-9 and GAD-7 trends plus documented impairment support the move to IOP.
The IOP or PHP prior auth is assembled with the payer's criteria mapped to chart evidence.
Attendance, hours and progress toward IOP objectives are in every note.
Time bands for 90832/34/37, the 90837 rationale and telehealth modifiers are all checked.
Re-authorization or step-down is drafted before the authorization lapses.
Each one comes configured for this setting, cites its source, and can be tightened per program, template or field.
In the starter note rules
4 rules · your QA lead approves eachPsychotherapy code matches face-to-face time (critical severity)
CPT® 2026 Psychiatry guidelines; CMS Medicare Claims Processing Manual Ch. 12 §160
Rationale for extended psychotherapy (90837) (medium severity)
Great Lakes Community Health Plan Provider Agreement, Exhibit C §4
Telehealth POS and modifier (high severity)
CMS Medicare Claims Processing Manual Ch. 12 §190; CY2026 PFS Final Rule
Questionnaire schedule (low severity)
Joint Commission CTS.03.01.09; Northshore Mutual Health BH Policy 9
Your QA lead approves every rule before it's enforced. Upload your own policies, and Margent proposes more, each linked to the page it came from.
Bring a individual progress note that causes rework. In 30 minutes, in your own EHR, we'll draft one, check it against your rules and show you every source.