--- title: Blog | Nextvisit description: Documentation, AI policy, operations, product updates, and notes from the founders. url: "https://nextvisit.ai/blog" type: static generatedAt: "2026-10-02T14:33:39.992Z" --- Resources # From the people who use the product. Documentation, AI policy, operations, and product updates. Written by clinicians and engineers on the team. [BH operations Latest ## What do I document while a patient waits months for a psychiatrist? Write what you can do in this visit, what you cannot, who else is on the team, and the bridge. A waitlist is not a treatment plan. September 19, 2026 · By Faisal Rafiq, MD · 3 min read](/blog/what-do-i-document-while-a-patient-waits-months-for-a-psychiatrist) 1. [19 Sep BH operations 3 min read · By Faisal Rafiq, MD ### What do I document while a patient waits months for a psychiatrist? Write what you can do in this visit, what you cannot, who else is on the team, and the bridge. A waitlist is not a treatment plan. Read post](/blog/what-do-i-document-while-a-patient-waits-months-for-a-psychiatrist) 1. [18 Sep Documentation 3 min read · By Faisal Rafiq, MD ### What does an adult ADHD note need besides a screening score? A positive screen is not a diagnosis. Document impairment, childhood history, comorbidity, prior trials, and why this visit's plan is a stimulant, a non-stimulant, or a wait. Read post](/blog/what-does-an-adult-adhd-note-need-besides-a-screening-score) 1. [17 Sep Documentation 3 min read · By Faisal Rafiq, MD ### How do I talk about SSRIs when the internet is having another fight? Stay with this person: why they started, what helped, what hurt, and what you are doing now. Do not litigate a newspaper essay in the assessment. Read post](/blog/how-do-i-talk-about-ssris-when-the-internet-is-having-another-fight) 1. [16 Sep Compliance & AI policy 3 min read · By Faisal Rafiq, MD ### Should I tell patients the AI scribe is on if they never ask? Yes. A Healthwatch survey found most patients had no idea a scribe was listening, and comfort dropped once the visit was about mental health. Silence is not consent. Read post](/blog/should-i-tell-patients-the-ai-scribe-is-on-if-they-never-ask) 1. [14 Sep Documentation 3 min read · By Faisal Rafiq, MD ### How should I document a psychedelic-therapy question before anything is approved? The FDA held a hearing, not an approval. Quote what they used or want, separate underground use from a clinical recommendation, and write the advice you actually gave. Read post](/blog/how-should-i-document-a-psychedelic-therapy-question) 1. [11 Sep Documentation 3 min read · By Faisal Rafiq, MD ### How do I document a 988 handoff so the chart still holds? 988 is a resource, not a discharge. Write what you assessed, what you told them to call, whether they agreed, and who you still are for them after they hang up. Read post](/blog/how-do-i-document-a-988-handoff-so-the-chart-still-holds) 1. [9 Sep BH operations 3 min read · By Faisal Rafiq, MD ### Which sentences in a behavioral health note actually prevent a denial? A reviewer needs today's problem, what you did, why a licensed person had to do it, and a plan that matches. Those four sentences beat a long, fluent note. Read post](/blog/which-sentences-in-a-behavioral-health-note-prevent-a-denial) 1. [7 Sep Compliance & AI policy 3 min read · By Faisal Rafiq, MD ### Does the 2027 Medicare fee schedule change what I write in a psychotherapy note? The proposed CY 2027 rule extends mental-health telehealth through 2027 and moves some timed-code values. It does not invent a new note. A few sentences you should already have still do the work. Read post](/blog/does-the-2027-medicare-fee-schedule-change-psychotherapy-notes) 1. [4 Sep BH operations 3 min read · By Faisal Rafiq, MD ### Why are mental health visits still around 40 percent virtual? The rest of medicine gave telehealth back. Behavioral health did not, because the product is the conversation. The note still has to say where everyone was. Read post](/blog/why-are-mental-health-visits-still-around-40-percent-virtual) 1. [2 Sep Documentation 3 min read · By Faisal Rafiq, MD ### How do I write a cross-taper so covering clinicians can follow it? Day-index the outgoing drug and the incoming one. 'Cross-taper as discussed' is how a patient ends up on two full doses, or on neither. Read post](/blog/how-do-i-write-a-cross-taper-so-covering-clinicians-can-follow-it) 1. [31 Aug BH operations 3 min read · By Faisal Rafiq, MD ### What should a MAT note include on a day the country is talking about overdose? International Overdose Awareness Day does not change the billing rules. Last use, naloxone, the dose you sent, and the intervention you actually did still have to be in the chart. Read post](/blog/what-should-a-mat-note-include-on-overdose-awareness-day) 1. [28 Aug BH operations 3 min read · By Faisal Rafiq, MD ### How old can an unsigned note get before it is a different problem? A draft from this morning is a workflow. A draft from Tuesday is a liability with better grammar. Forty-eight hours is the line I tell clinics to treat as overdue. Read post](/blog/how-old-can-an-unsigned-note-get-before-it-is-a-different-problem) 1. [25 Aug Documentation 3 min read · By Faisal Rafiq, MD ### What belongs in a lithium note if the kidneys are the story? IGSLi/ISBD puts the risk at mild-to-moderate CKD, not dialysis. The note has to show the level, the eGFR trend, and that you asked about thirst. Read post](/blog/what-belongs-in-a-lithium-note-if-the-kidneys-are-the-story) 1. [22 Aug Documentation 3 min read · By Faisal Rafiq, MD ### When is an OCD medication trial actually a failed trial? CANMAT-ICOCS now wants 12 weeks at a tolerated high dose before you call an SSRI a failure. Most notes I review call it at week six. Read post](/blog/when-is-an-ocd-medication-trial-actually-a-failed-trial) 1. [21 Aug Documentation 3 min read · By Faisal Rafiq, MD ### How do I document a ketamine conversation that is not a prescription? Write what they used, what you advised, and what you did not start. Do not let a clinic ad or a hallway rumor become a treatment plan in the chart. Read post](/blog/how-do-i-document-a-ketamine-conversation-that-is-not-a-prescription) 1. [19 Aug Documentation 3 min read · By Faisal Rafiq, MD ### What I check before I sign an AI note A draft can be fluent and still be wrong in the places I am responsible for. This is the pass I do before my name goes on it. Read post](/blog/what-i-check-before-i-sign-an-ai-note) 1. [22 Jul Documentation 3 min read · By Faisal Rafiq, MD ### Stop copy-forwarding the mental status exam A pasted MSE is how a stable paragraph survives a week that was not stable. Here is what I still write myself, and what I let a draft start. Read post](/blog/stop-copy-forwarding-the-mental-status-exam) 1. [24 Jun BH operations 3 min read · By Ryan Yannelli ### When I would turn the ambient scribe off A listener in the room is the wrong tool for some visits. These are the ones where I tell people to type, or to wait. Read post](/blog/when-not-to-use-an-ambient-scribe) 1. [13 May Documentation 3 min read · By Ryan Yannelli ### The intake note is where the chart goes wrong Follow-up notes inherit the first visit. If the intake is thin, later denials and confused covering clinicians start there. Read post](/blog/the-intake-note-is-where-the-chart-goes-wrong) 1. [25 Mar BH operations 3 min read · By Ryan Yannelli ### What payers mean by a golden thread in behavioral health notes Golden thread is not a slogan. It is whether a reviewer can follow this visit from the problem, through what you did, to why the next visit is still necessary. Read post](/blog/what-golden-thread-means-in-behavioral-health-notes) 1. [18 Feb BH operations 3 min read · By Ryan Yannelli ### Ambient scribe, dictation, or type it later: what actually changes Ambient listening, dictation, and typing after clinic are different jobs. Here is how each fails in a psychiatry or therapy day, and when I would still pick it. Read post](/blog/ambient-scribe-vs-dictation-vs-typing) 1. [14 Jan Documentation 3 min read · By Ryan Yannelli ### What belongs in a telehealth psychiatry note that an office note can skip Payers and boards still treat video visits as a different setting. These are the fields I see missing when a telehealth chart gets pulled. Read post](/blog/what-belongs-in-a-telehealth-psychiatry-note) 1. [10 Dec Compliance & AI policy 3 min read · By Ryan Yannelli ### Do you need patient consent to use an AI scribe? If a tool is listening to the visit, treat it like a recording. Here is the consent conversation I tell practices to have before they turn one on. Read post](/blog/do-you-need-consent-for-an-ai-scribe) 1. [19 Nov BH operations 3 min read · By Faisal Rafiq, MD · Updated May 2026 ### What new clinicians used to need years of volume to notice New psychiatrists and therapists get pattern flags, documentation checks, and longitudinal context that used to take years of volume to notice. Read post](/blog/ai-bridges-experience-gap-young-mental-health-clinicians) 1. [19 Nov Product updates 3 min read · By Faisal Rafiq, MD · Updated May 2026 ### The covering clinician should see what you already know AI patient timelines keep med trials, life events, and risk history available for the covering clinician, not only the person who wrote the first note. Read post](/blog/ai-clinical-memory-timelines-event-tracking-mental-health) 1. [19 Nov Compliance & AI policy 3 min read · By Faisal Rafiq, MD · Updated Sep 2026 ### Supervision between sessions, without leaking PHI Trainees need feedback between supervision sessions. A HIPAA-safe review of drafts beats Reddit threads and group texts. Read post](/blog/ai-clinical-supervision-healthcare-training-hipaa-compliance) 1. [19 Nov Product updates 3 min read · By Faisal Rafiq, MD · Updated May 2026 ### Medication history a busy clinic cannot keep in one head AI can reconstruct medication history, side-effect patterns, and practice-level prescribing that a busy psychiatry clinic cannot keep in one head. Read post](/blog/ai-medication-tracking-treatment-outcomes-prescribing-patterns-mental-health) 1. [19 Nov Compliance & AI policy 3 min read · By Faisal Rafiq, MD · Updated May 2026 ### What auditors look for in a behavioral health note Payers want medical necessity, add-on psychotherapy content, scales, and matching CPT codes. AI can catch those gaps before you sign. Read post](/blog/ai-mental-health-insurance-audits-documentation-compliance) 1. [19 Nov Product updates 3 min read · By Faisal Rafiq, MD · Updated Sep 2026 ### ESA letters, FMLA, and prior auths from the chart Nextvisit drafts ESA letters, FMLA packets, and prior authorizations from the chart for clinician review. Read post](/blog/ai-transforming-patient-letters-forms-nextvisit-integration) 1. [19 Nov BH operations 3 min read · By Faisal Rafiq, MD · Updated May 2026 ### How AI supports psychiatry and therapy AI supports structured documentation, longitudinal review, and insurance formatting. Clinicians use this information to make clinical decisions. Read post](/blog/how-ai-is-changing-psychiatry-and-therapy-beyond-the-hype) 1. [13 Oct Documentation 3 min read · By Ryan Yannelli · Updated Sep 2026 ### Notes that finish during the visit Nextvisit reduces provider administrative time by 68% on average, drafts structured notes, suggests codes, and exports to the EHR. Read post](/blog/revolutionize-behavioral-health-documentation-with-ai) 1. [12 Oct Documentation 3 min read · By Ryan Yannelli · Updated May 2026 ### Progress notes that write during the visit Automated progress notes capture the encounter as it happens and write a structured record into the EHR, so the chart is not rebuilt after clinic. Read post](/blog/automated-progress-notes-streamlining-medical-documentation) Get notes you can use ## One short note a month, no marketing list theater. We send a monthly product letter with what we shipped, what we learned, and links to the longer pieces. Unsubscribe in one click. [Start free, no credit card](https://nextvisit.cal.com/ryan/demo) [Talk to sales](mailto:hello@nextvisit.ai) Live in 2 weeks or less BAA signed by default