Which activity should be selected when a therapist and case manager meet together to discuss potential linkages/referrals for a particular client?
TCM. Anytime the discussion is about linkages and referrals, the activity is TCM. Even when you're "planning" for linkages/referrals.
What should go into the Next Steps section of every progress note?
Planned action steps for everyone present in the session (provider, client, caregiver, etc). Must have something more than meeting for next appointment.
Which activity would be selected if the therapist meets with the client to process thoughts, feelings, trauma, etc?
Individual Psychotherapy
Which activity should the THERAPIST select if a client escalates during an IN-PERSON session and the therapist is able to apply interventions to deescalate/stabilize client without hospitalization/911?
Psychotherapy for Crisis
(IN-PERSON SERVICE ONLY)
What document must be SIGNED in order to share mental health information with someone other than a legal guardian? (i.e. DCFS social worker)
Release of Information
What must be obtained/provided prior to providing any Specialty Mental Health Services (SMHS)?
Consent for Treatment and Notice to Privacy Practices
True or False. Targeted Case Management can be billed before the assessment is completed.
True. Targeted Case Management can be billed before Assessment as long as the service is necessary.
Which activity should be selected if therapist, mom, brother, and client participated in a session about the impact of family dynamics?
Family Therapy
Which activity should be selected if therapist or case manager linked client/caregiver to educational resources?
TCM
ICC for intensive clients
Which activity should be selected if a therapist or case manager participated in a Child and Family Team meeting for an Intensive Care Coordination (ICC) client?
Child and Family Team (CFT)
If I attend a 3 hour IEP meeting (virtually/in person etc) and we talked about mental health for 30 minutes of the meeting, How much time can I claim?
30 minutes, only the time spent talking about mental health
Which activity should be selected if I met with father to provide parenting skills to better work with the client at home?
Rehabilitation
What is a duplicate service?
when a provider writes 2 notes with the same activity for the same client in the same day.
i.e. PD @ 9am for clark test on 7/19/24
another PD @ 3pm for clark test on 7/19/24
What health care form must be completed and signed when a Client turns 18?
Advance Health Care Directive
*Make sure this is signed and a copy is offered
What activity would I select:
Therapist or Case Manager provide assistance in improving, maintaining, or restoring the client’s functional, social, communication, or daily living skills.
Rehabilitation
Which activity should be selected if provider called mom to get updates about client's behaviors and there are modifications to the treatment plan (i.e. increasing treatment sessions from 1x/week to 2x/week).
Plan Development
Which activity should be selected if I met with DCFS social worker to coordinate client's mental health treatment?
Coordination of Care
True or False: The non-contact box should be selected in the appointment details of the note if I cannot visually see client and/or caregiver.
True. Anytime you cannot see your client/caregiver face whether in person, telehealth and all telephone sessions, select the non-contact box.
Give an example of a facility where the medi-cal lockout applies.
Psychiatric hospital, jail, inpatient hospital, Residential treatment facilities
True or False. If a Therapist and a case manager are present in the same session they can each submit their own notes with a different activity (i.e. Therapist- Rehabilitation; CM - Targeted Case Management).
True. Utilize the activity most appropriate for the services you provided in the session.
If I have a family psychotherapy session and only billed for 25 minutes.
1. Is my note billable?
2. If it's not, what should I select?
1. No. Family Psychotherapy needs a minimum time of 26 minutes.
2. You should select the No Charge box in appointment details.
True or False: The Release of Information Form is only good for one year from the legal guardian/client's signature.
TRUE
must get an updated release after it expires.
What is the maximum number of hours that you can bill for crisis in a 24 hour period?
8 hours (includes: session time for ALL providers)
Which document should be completed annually to assess for TCM needs for clients 21 and above?
Needs Evaluation Tool
Which activity should be selected if the therapist and case manager are both present in the same session with mom and client?
1. The therapist explored family dynamics and emotional processing around trauma
2. Case Manager provided behavioral skills for the purpose of alleviating mental health symptoms
1. Family Psychotherapy
2. Rehabilitation