Keep talking I'm Diagnosing You
Starting at what age can someone be diagnosed with IED
6 years old.
What 3 categories of diagnosis have the same code for 2 different Diagnosis
F91.9 Unspecified disruptive, impulse-control, and conduct disorder
F91.9 Conduct disorder, Unspecified onset
F31.9 Bipolar I disorder, Current or most recent episode unspecified
F31.9 Unspecified bipolar and related disorder
F32.9 Major depressive disorder, Single episode, Unspecified
F32.9 Unspecified depressive disorder
Client reports they have no cravings but continue to use socially
If client is using only when its presented to them I.E they do not go out and get it and do not use with any regular frequency this criteria is not met.
What are the most common missed bubbles in ECR
Long term memory
Allergies
Risk Justification
No to TBOS
Caffeine
Orientation
Services recommended
Should the diagnosis be put in the intake portion of your notes why or why not
Diagnosis names should only be in the summary that way if there are any dx change you don't have to remove from all areas were its written or append notes we can't unsign
Name the Diagnoses that can't be diagnosed with DMDD
ODD , IED and Bipolar
Bonus if you can say what's main difference between IED and DMDD
What is the intended difference between other or unspecified diagnosis codes
Other Specified is intended to be used when you can identify why the client did not meet full criteria for something
Unspecified is intended to indicate when we don't have enough information to specify why the client did not meet criteria
Client reports they have never tried to cut down their use or stop but they report they have been violated twice on probation for positive drug test
It can be inferred client is unable to stop as they have strong reason to stop and have not done so
What happens if you choose Private Intake Session over Private DX Eval
ECR will not show as billable and give no units
Where can you find information about auditing requirements and how to fill things out
In the manuals that Cami works so hard to put together
What types of trauma Meet Criteria A for PTSD
Actual or threatened death, serious injury, or sexual violence
What do the code endings in the primary SA codes signify
The Severity
.10 Mild
.20 Moderate
.20 Severe
.99 Unspecified
If a client uses daily but denied having any symptoms related to their use do the meet criteria for SUD.
Client's who use daily do not automatically meet criteria so we must always ask the symptom question and infer clinically based on all the information given
What should be included in all TP plan goals
Preferable to use a protocol or make sure use a psycho-education objective and skills based objective
What is the difference Between MDD with psychotic features and Schizoaffective Depressive type
MDD with psychosis- Perceptual Disturbances only during mood episodes
Schizoaffective Depressive type- Perceptual Disturbances with or without active mood episode.
Name 2 criteria for ADHD aside from the symptoms criteria
Symptoms must be present before age 12 and they must occur in 2 or more settings.
What is one example of a diagnosis we cannot bill
F42 Obsessive-compulsive disorder
F32.81 Premenstrual Dysphoric Disorder
F32.8 Other specified depressive disorder
F40.248 Specific phobia, Situational
F98.9 Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
Client has a medical marijuana card do we assess for SUD
We should assess for SUD for clients who take any prescription that are abused including marijuana, pain killers, Xanax and Adderall.
Name one common mistake on SA forms
Not having parent and guardian sign
Score a 2 for things that cannot be higher than 1
Not answering if protection was used on each line
Missing checks on ASAM right side of ASAM
Who is responsible for making sure the consents are correct for clients who are in the dependency system
The assessors. Intake is only responsible for obtaining guardianship/third party forms if someone other than guardian will be present.
What is the Difference Between Bipolar 1 and 2
Bipolar one requires at least one manic episode with a Duration of at least 7 days . Bipolar 2 requires at least one hypomanic episode with duration of at least 4 days and one major depressive episode.
What is F31.89 Other specified bipolar and related disorder
Client is using marijuana to self medicate for anxiety do they meet criteria for SUD.
Client may meet criteria if they experience symptoms related to their use I.E cannot function if they are unable to use, not able to pay their bills because of the cost of their marijuana, causing major conflict with family or caused legal consequences. If client is self medicating but has no symptoms they do not meet criteria in the traditional sense but anyone who is using a substance illegally technically can meet criteria for recurrent use despite social problem
What are the 4 major SA Audit requirements
Consequence of use
Family influence on use
Educational or work Impact from use
How use impacts relationships and if use is a part of how they socialize
How can you tell if an insurance is Medicaid, Healthy Kids or private.
They will have different endings
Medicaid-MCD
Healthy Kids- HK
Private-COM