Client plans
You select this when you are UMing a client Plan; 50 point bonus if you can tell us what you select to end the client plan at discharge?
What is Review at UM and Revise at discharge?
The YTSE is required for clients at what age?
What is 16 and older?
A discharge summary is needed for how many sessions or more
What is 5 or more sessions?
A client who meets medical necessity, has an open CWS case, is not in need of additional support such as TBS, and has not had recent placement changes?
What is class?
What should you enter in every narrative box in your BHA?
What is the unit/subunit and date?
When it comes to interventions, the county wants you to do what?
What is individualize?
These 2 assessments are needed when a client is hospitalized?
What is HRA & KET
What do you enter when there are gaps in services or for example when you send a fax/leave a voicemail?
What is a never billable note?
A pathways eligible client must have a progress report sent to CWS within what time frame from opening?
What is 30 days?
The "Cultural Information" section of your BHA may include information such as- languages spoken in the family, regilious/spiritual beliefs, family structure, legal involvement, immigration history, subcultures, history of DV etc.
What is the key component to include that is not discussed here?
What is "how does client cultural information affect client's mental health?"
You have asked the case manager to provide additional support on your case. What does this mean for your client plan?
Daily double if you can provide details.
What is- you have to add service codes for the case manager?
Codes might include: 50, 34 or 36
You are discharging your client. What two things that can be found under the assessment tab need to be entered?
(50 point) Bonus if you can name the 3 outcome measures that are also required.
1. Discharge summary
2. eligibility for pathways form
Bonus: PSC, CANS, KET
You are bilingual and provided your services in Spanish. What two things must you select in the encounters information of your note?
1. language (billing type)- Spanish
2. intensity type - bilingual program staff
A CFT referral for a Subclass client must be completed within 30 days from opening and how many days after?
Bonus 50 points if you can state where the form is sent.
What is every 90 days?
Bonus: Fred Finch
Name at least 3 things that should be included in your clinical formulation.
Medical necessity
diagnosis,
symptoms and impairments.
Planned treatment-length, modalities
recommendations for tx
summary of clinical findings
Your objectives need to be "____ and _______."
What is quantifiable and measurable?
A BHA, discharge summary or client plan was completed. You are writing the associated note. What should you include in the narrative of the note, and the billing?
What is documentation time in the billing, and in the note "time to complete ___ in cerner included in doc time."
This must be included in EVERY billable note. Name what it is and give an example.
Medical necessity.
An example would include symptoms, impairments, and an example of the impairment.
What service code should you add to your client plan if your client meets subclass criteria, or if you will be providing enhanced services to a non-subclass client?
What is service code 82?
Medical necessity is proven by the information provided throughout the BHA, however, it should explicitly be explained in what 2 areas?
What is the presenting problem and clinical formulation?
What are at least 2 things that should be included in the area of need?
symptoms
behaviors
impairments
what parent or client states their needs are
what the parent/child would like from treatment
The PSC and CANS need to completed when, and at what intervals?
What is at intake and discharge, and every 6 months or at UM, whichever comes first.
In general, what is the difference between a 33 and a 50?
33- collateral, providing psychoeducation
50- providing resources, referrals, discussing progress towards specific goals on the client plan, safety planning/assessment
Your pathways client is closing services with you. What 3 things must you do at closing?
What is
1. fax the progress report to CWS
2. input the discharge eligibility for pathways form
3. flip the switch (or let program aid know to do so)
When completing the PRA, any yes response requires what 2 things (3 if unlicensed)?
What is
1. an explanation in the "overall risk & treatment planning section."
2. creation of a safety plan
3. documenting consultation with a licensed supervisor