Door #1
Door #2
Door # 3
Door # 4
Door # 5
100
  • What CPT Codes do we use and what do they stand for?
  • 90867 - Cortical mapping
  • 90868 - TMS visit
  • 90869 - Redetermination
  • 96127 – Scales
100
  • Explain the BEAM measurement process.
  • Nasion to edge of cap ___cm
  • Mark Inion ___ cm
  • Nasion to Inion ___ cm 10% @ ___ cm
  • Nasion to Midline (CZ) ___ cm
  • Preauricular to Preauricular (Tragus to Tragus) over midline ___ cm 10% @   ___ cm
  • Mark 4 areas upward around the head by 10%
  • Head Circumference ___ cm
  • (2) X Coordinates ___ cm
  • Y Coordinate ___ cm
  • Stimulator Output ___
100
  • What tabs do you have open on your bookmark?
  • MD EHR and PM
  • Email
  • Calendar.
  • Chat
  • Vonage
  • Patient Census
100
  • What protocol can we add to standard MDD?
  • TB Anxiety
  • Migraine
100
  • What are the CPT codes and how many units should be used?    
  • 96127
  • 3 Units. one each for PHQ9, GAD and BDI
  • 4 Units if CSSRS is added.
200
  • What treatment number/s should you do a redetermination that has 36, 38 and 60 treatments approved?
  • (36) Between 15 – 17 treatments with 1 redetermination
  • (38) 10th and 20th with 2 redeterminations
  • (60) 15th and 30th with 2 redeterminations
200
  • What should you look at prior to seeing your cortical mapping patient?
  • Doctors progress note and another provider if seen by one.
  • Aware of patient’s triggers
  • History
  • Medications
  • Protocols recommended.
200
  • What is the importance of the CPT codes?
  • Insurance claims. Having to follow the guidelines. If you skip or add an extra CPT code insurance may deny claim
200
  • When do you place a patient on HOLD?
  • If patient is going to be missing treatment for 2 weeks
200
  • What are the qualifying scales for insurance purposes and their scores?
  • BDI -31
  • PHQ9 – 20
300
  • How do we converse about adding TB anxiety, mid-way through treatment if you know your patient is suffering from anxiety?
  • We do not discuss adding an anxiety protocol, mid-way through treatment, we ask the patient if they would like us to add an additional protocol that could help more with their symptoms.
300
  • What do you update in row B?
  • Last date of tapering service
  • If appointment times ever change
  • Highlight anything Inconsistent with times or days. Not M-F
300
  • What cash ay protocols do we offer? Do technicians offer these protocols during treatment?
  • OCD
  • PTSD
  • Standard Anxiety
  • No, technicians encourage MDD and can have a conversation after treatment or have a coordinator call them regarding cash pay protocols that your patient may be interested in.
300
  • If your pt is interested in disability while being treated for TMS, what is the process?
  • Let the pt know you will forward their disability concerns to a care coordinator, never tell the pt that we can put them out on disability. The care coordinator will access, determine eligibility, and reach out to the pt quickly.
  • HB – Galilea
  • LH - Liz
  • LB - Brandi
  • TO/CM - Cherish
  • OR – Nicole
300
  • Name Down Time Responsibilities you can do?
  • Ensure that your office is supplied with CaviWipes, gloves, disinfectant spray, masks, earplugs, hand sanitizer, tissue, paper towels, etc.
  • Help the front office with scanning.
  • Ask your co-workers if they need help with anything - be a team player!
  • You have 10 consultation bags in your office at any given time
400
  • Explain Column’s G-L  
  • X = NS
  • 0= no copay
  • $ = copay due, pt was in tx, but copay has not been collected yet
  • Teal = someone else collected
  • Green = Collected
  • Column L update on Friday what was collected for the week.
  • Delete Column G-K on Monday
  • Vivian deletes Column L when balanced out.
400
  • What is the Safety Protocol on Chat we can use if we need help?
  • HELP if it is NOT an emergency and you only need someone to come into your office and help you get a patient to conclude their appointment.
  • 911 if it IS AN EMERGENCY and you need staff to dispatch the police right away.
  • 911 and HELP if you need police assistance AND you need staff to come into your office right away.
400
  • Can we add standard anxiety at any time?
  • No, we cannot add standard anxiety and will move away from having conversations about adding different protocols.
  • We will focus on TMS being FDA approved for standard MDD and explain how this tx helps with a variety of symptoms, depression and anxiety specifically.
  • If your pt displays mania symptoms, you will put your pt on hold until their symptoms subside.
400
  • What is in a consult bag and how many should you always have made?
  • 1 red stress brain ball
  • 1 Anew Era TMS pen
  • 1 water bottle
  • 1 Anew Era TMS folder containing:
  • Welcome letter.
  • Anew Era trifold
  • Anew Era card stock information
  • Anew Era TMS Regional Director business card (Vivian)
  • Should always have at least 10 consult bags ready.
400
  • What are the coordinates of the depression protocol?
  • POWER ( varies per pt )
  • FREQ (10.0)
  • DUR (4.0)
  • #PULSE (40)
  • WAIT TIME
  • TRAINS (75)
  • TOTAL PULSES (3000)
  • MT% up to 120%
500
  • What’s information do you need to input on Patient Census for a new patient?
  • Column A:  Patient name
  • Column B:  Days and times of appointments
  • Column C:  Daily copay
  • Column D:  Tx # and DOS
  • Column E:  Missed appointments.
  • Column F:  Redetermination
  • Columns: G-K:  Money collected (Will have symbols on another answer)
  • Column L:  Total Copay/ End of the week collection
  • Column M:  Provider
  • Column N:  Dates of Approval
  • Column O:  Number of approved treatments
  • Column P:  TMS Protocols
  • Column Q:  Notes
500
  • Can we add standard anxiety at any time?


No, we cannot add standard anxiety and will move away from having conversations about adding different protocols. We will focus on TMS being FDA approved for standard MDD and explain how this tx helps with a variety of symptoms, depression and anxiety specifically.

If your pt displays mania symptoms, try to get them with Dr Shama and put them on hold until their symptoms subside

500
  • Explain the exit interview process:
  • The exit interview takes place within the last 6 treatments.
  • Exit interview survey.
  • Schedule a TMS 1-month follow-up with MD if they are not seeing a NP, PA for meds.
  • If the patient has improved by approximately 50%, create depression graph. If they have not improved by that, do not create graph.
500

What are ‘Letters of Absence’, explain what you can and cannot provide on these letters


Make sure that a ROI is in place for the desired letter

* You can provide a letter stating that your pt is undergoing TMS tx from their MD clear to the potential end date and sign as a TMS technician

* You can provide a couple of days off of work and sign as your pts TMS technician

* DO NOT sign Dr. Shama’s name

500

What are the requirements for putting someone on hold on your census

Must be out for 2 weeks or they stay on your active portion of the census

Write detailed notes in Column D stating the date of hold, the situation, follow-up information and your initials

M
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