Billing Codes
This code is used for a 60 minute therapy session
99837
Initial phone call or in person data collection interview
Intake
This is where you would scan an intake packet from a chart created prior to 11/12/2024
Vital Documents
You have taken the State car to bring a client home from the clinic and they ask you to stop at Target so they can buy a gift for their friend. What do you do?
Attempt to redirect the client and explain the purpose of the transport, potentially offer additional options for transport.
When scheduling an out of office notification - after notifying Clinic Site Supervisor and Altres, your away status should be set as what in Teams for the meeting invite?
Free
This code is used for a comprehensive psychiatric evaluation.
90792
This is where a case manager keeps their appointments.
Avatar Scheduling Calendar
This is where you would upload a birth certificate
Historical Legal
Client asks you to take them to TSA because they are moving off island and want to get precheck. What should you do?
Explain the purpose of the State car and that TSA precheck is not required to board a plane.
A case manager should follow up with a client how soon after receiving a referral, a phone call, or a request from a provider?
By the next business day.
These letters are used as a modifier to most codes to indicate a telehealth session
GT
A case manager follows up this frequently when a client scores Level 3 on the LOCUS or CALOCUS evaluation
Weekly
This is where you would upload a signed Notice of Privacy Practices
Consent and Releases
This is the next step if a therapist asks you to schedule an extension on therapy.
Ask if the extension was approved
Two things a case manager should inform a supervisor about after opening a new Avatar episode for a client
A diagnosis is needed
Insurance information
This code is used for billable case management services face to face.
FH2015
Sharepoint QR Master Log
There is where you would upload records from a recent Molokini admission.
Historical Medical
Client calls in requesting to be seen; we do not have them in Avatar, they are Kaiser. You check the referral log, they have never called in and Kaiser never sent a preauth. You check Kaiser and notice an authorization from September 2024, it is January 2025. You create the Avatar episode for what date?
January 2025
Clinic is open from 9am - 6pm.
Kaiser has been authorizing this very short psychiatry follow up code, which is anywhere between 15 and 20 minutes.
99213
You should ask the psychiatrist what question if they request a follow up appointment with a client in one month.
Would you like for them to be scheduled monthly ongoing or just one follow up appointment?
There is where you would upload an unsigned Informed Consent to Evaluate
You don't upload an unsigned document
You notice a Kaiser authorization is about to expire; you know where the reauthorization form lives. What do you do next?
Ask the therapist or psychiatrist if treatment needs to be extended; find the licensed professional involved with the case to complete the form.
A client is discharged on 12/31/24. You have until when to ensure the chart is correctly and fully uploaded.
1/13/25