ICC
Are ICC meetings billable if the caregiver or client are not present?
No
What makes a rehab a rehab?
Teaching skills/interventions to increase or decrease a behavior/goal
Can you bill for researching interventions/prepping?
No, as reviewed by QA and out County Partner this is not a billable service
Are Consents or signing materials billable?
No this time is excluded from billing and must noted in a note that completing time for signing documents is not being billed for
Name two reasons that would warrant a client to be discharged?
Client no longer meeting medical necessity. Client meeting and sustaining treatment goals. Client’s CPS case being closed. Client moved out of county and CFT meeting determined a presumptive transfer will be done
What Team members must be present for an ICC meeting to be active?
Clinician, Case Manager, Caregiver/Client, DSS SW
Can you exceed the amount of rehab services allowed on the POC?
What clients do you have split consultation/collaborative time with if its with CSCS Team Member?
All clients
Can you bill your travel time if you have a no show appointment?
this time is not billable on EMR but can be added to concur. A note must reflect this no show
when do we update the POC?
when placement changes, diagnosis changes, symptoms/behaviors change
How long are ICC meeting plans good for? How far out should follow up meetings be scheduled?
90 days, depends on client progress but 30, 45, 60 days
What format do Individual Rehabs and IHBS follow and what information goes in those slots?
IGBIRP
Intro; intro to session/reason/contact method/screener
Goals; all the clients POC goals
Behaviors; update to clients recent behaviors/needs
Intervention; what intervention your using and what its meant to target/accomplish
Response; observed response to you intervention
Plan; Specific plan to what's next
Do you have to indicate your communication method in the intro of your notes? If so what examples?
Yes you must indicate if your service was in person, via phone, via telehealth, or email.
What would require billable services to stop?
Expired POC/Assessment, Change in Placement, Discharge Date set,
who gives consent for the POC/ROI's?
current caregiver or SW if needed
Can you still bill ICC/IHBS if there is no ICC plan created/on file?
No, ICC/IHBS are not billable until there is an official ICC meeting is held an the plan is submitted
Yes therapy services can be billed for IHBS if the client is ICC
What is the turn around time for notes to be submitted? What is the allowed late note percentage allowed?
72 hours, 15%
How long are Releases of Information good for? and when are they updated
ROI's are good for and are updated yearly or if clients change placment
when is the draft deadline for initial and reassessments?
submitted 14 days after session to your supervisor
What is the turn around time to send ICC plans to other participants and to be scanned in?
48 hours
How do you decide if your service is IHBS?
Service must be "intensive", be 61 minutes or more by itself, or must add up to 61 minutes or more including the other team members contact for the week
What counts as billable time? Examples?
Consultation with team members, rehabs, collaterals, case management, therapy, phone call updates, POC review, assessments,
What is the process you follow if a client no shows/not answering to phone calls?
Call client
Follow up with client no later then 48 hours
Follow up with DSS/DSS Supervisor
Follow up with DSS/DSS Supervisor after 48 hours
Follow up with Program Manager/CSCS Supervisor
Follow up with CSCS Supervisor/Director to connect with DSS Director
Describe two areas in the discharge planning process?
Discuss with CG and client progress toward Tx goals. Consult with assigned CM. Develop a discharge plan with CG and/or client. Consult with DSS SW. Hold a CFT and discuss d/c planning. Consult with medication department.