Hi @kjnelan -
I’ve been doing OpenEMR customer support for several years and have helped several Mental Health clinics adapt OpenEMR for their use. OpenEMR does have the capability to support MH practices but it does take a bit of doing since 1) most MH practices seem to have have their own unique workflows for seeing their patients, 2) those workflows have few or no medical activities in them which OpenEMR was designed to support and 3) often billing arrangements are quite different from standard medical insurance.
Like you, plenty of MH providers have posted here in the OpenEMR forum looking for the same help as you are. Consequently, doing a forum search for ‘mental health’ and ‘behavioral health’ will return a lot of discussion and information on adapting OpenEMR.
But here are some tips to get you further along your quest.
The OpenEMR wiki is a treasure trove of information, even if it can be difficult to find relevant information sometimes. I have some links below to look at on some topics, but otherwise the best way to use the wiki is to search (using the search function in the left margin) for pages about the topics of interest.
OpenEMR has the Layout Based Forms (LBFs) capability which allows the user to create their own clinical forms. That’s another good search term for the forum. But here’s the latest wiki docs on LBFs
LBFs were originally ‘Layout Based Visit forms’ (‘LBV forms’). This is some older documentation but still useful.
Since the CPT codeset is a paid subscription and no practice I’ve heard of would ever use all the codes it contains, practices usually opt to manually enter the small subset of codes they do actually use. The link that @VWfeature posted is the most useful info on fee sheet codes, which is how you would enter CPT codes.
Another good one for a related but different use case is: https://www.open-emr.org/wiki/index.php/OpenEMR_4.2.0_Fee_Sheet_Custom_Service_Categories
DSM-V diagnoses are also a paid subscription so must be entered as you would the CPT codes. Alternatively, they are a subset of the ICD-10 codes which are included in the default EMR so you could use the MH ICD codes for free.
I suspect that the greyed out fee sheet you saw is because you need to have a patient’s encounter form active before you can open the fee sheet that records the fees for the services rendered in that encounter.
OpenEMR is an extremely capable application but with capability comes complexity. And while nothing is completely free (except the advice here on the forum) if you can invest the time and effort to learn how to do everything yourself, your monetary investment using OpenEMR will be minimal.
Please feel free to post more questions here- that’s what the forum is for!