CPT Codes
One "unit" equals X minutes
What is 15 minutes?
Insurance that requires a live review
What is UBH?
Location code (number) select for billing location for office services
What is office 11?
MUEs =
What is medically unlikely units?
Absolute maximum amount of time to sign a session note before the note becomes non-billable
What is 7 days?
Assessment code administered by technician with BCBA instruction
What is 97152?
Insurance that requires assessment within 60 days of treatment plan submission
What is CIGNA?
CPT code modifier to indicate telehealth services
What is GT?
Maximum hours that can be billed for 97151 per day
What is 2 hours?
A session note is considered "late" to Medicaid after
What is 24 hours?
CPT code used to conduct functional analyses
What is 97151?
Insurance with the following subsidiaries: Alliance, Vaya, Trillium, Partners
What is Medicaid?
Location code to select when billing for in school services for commercial or medicaid
What is home 12?
Maximum billable units for 97155
What is 24 units?
A UBH client was scheduled to attend for 30 hours this week and you had planned on supervising for 6 hours. The client went home sick and will only receive 25 hours. You should supervise X hours this week
What is whatever is clinically appropriate? There is no cap
Hours per auth typically requested for 97151
What is 8 hours?
Insurance that requires VB-MAPP bubbles filled in
Location code to select when billing telehealth services with the client in home for a commercial plan
What is telehealth provided in the patients home 10?
You bill 2 hours of 97151 in the morning, you have X hours left to bill of 97152 for the remainder of the day
What is 4 hours?
A Medicaid client was scheduled to attend for 30 hours this week and you had planned on supervising for 3 hours (maxing out your weekly supervision). The client went home sick and will only receive 25 hours. You should supervise X hours this week
What is 2.5 hours?
Group adaptive behavior treatment with protocol modification code
What is 97158?
Insurance that has weekly supervision caps but can bill the percent the client was approved for, not just what they attended that week
What is BCBS - Anthem?
Location code to select when billing telehealth services with the client in home for Medicaid
What is 12 home?
A client arrives at 9:15 and is scheduled to be picked up at 5:00. Parents are late and don't arrive until 5:25. The RBT should stop billing at..
What is 5:15?
A BCBS-Anthem client was scheduled to attend for 30 hours this week and you had planned on supervising for 6 hours (maxing out your weekly supervision). The client went home sick and will only receive 25 hours. You should supervise X hours this week
What is 6 hours?