Billing Optimization
The minimum amount of time an encounter must be in order to be billable
What is 8 minutes
A clinical document that should guide: the activities/purpose of our appointment with clients; the length of our appointments with clients
What is the ISP?
The procedure code used when assessing needs and linking to community resources (2 correct answers)
What is CPST/SUD
The only procedure code that can be used to facilitate admission to or discharge from an inpatient hospital setting
What is CPST
The full name for the procedure code referred to by SUD CM
What is Substance Use Disorder Case Management
The procedure codes that reimburse at the same rate regardless of which location was selected (2 correct answers)
An activity we often do while providing services that is NOT a billable service on it's own, and should NOT be documented in your notes
What is "Transportation"
The procedure code used when supporting a client to implement new skills which improves their overall functioning (2 correct answers)
What is PSR/TBS
Examples: leaving a voicemail, sending a letter, drive time from a client's home
What are nonbillable services
The full name for the procedure code referred to by CPST
What is Community Psychiatric Supportive Treatment
The location selection that prompts a higher reimbursement rate for TBS, PSR, and Crisis Modifier.
What is "In Field" (client's natural environment)
The part of clinical documentation that is missing from this list: Life Changes, Interventions, Patient response (including symptoms and presentation), Follow Up Plan (2 parts)
What is "Treatment Plan Goals/Objectives" and "Progress made/not made"
The procedure code that canNOT be billed with 3rd parties (advocacy, collateral supports).
PSR
The name of our Eleos product used to document quickly from the field
What is Outreach?
The full name for the procedure code referred to by TBS
What is Therapeutic Behavioral Services
The amount of clients needed for a CPST group to be worth LESS than an encounter of the same time with one single client.
What is two?
The two clinical documents that REQUIRE a signature from an independently licensed clinician before they are valid (2 correct answers)
What are ISPs and Discharges
The procedure code that canNOT be billed for internal case consultations with the treatment team
What is SUD Case Management?
The option from the following list that you canNOT bill for outreach/coordinating/advocating on behalf of the client with: a clt caretaker, your supervisor, a group home operator, another treatment team member.
BONUS: The two procedure codes that you canNOT bill for when intervening with 3rd parties
What is your supervisor
What is PSR and Crisis Modifier
The full name for the procedure code referred to by PSR
What is Psychosocial Rehabilitation
The amount of time you will be reimbursed for if you spend 37 minutes with a client
What is 30 minutes?
The term used in healthcare documentation to describes the necessary flow of information from: Intake Assessment, to Treatment Plan, to Progress Notes, to Discharge Plan. It justifies the medical necessity of services and helps to provide quality care.
What is the Golden Thread?
The procedure code is used when emergent care is required in order to minimize psychological trauma
What is Crisis modifier?
The step you should take if Smartcare alerts you that another provider's time is overlapping with the time of the note you are trying to submit.
The full name for the acronym ISP
What is Individualized Service Plan