Name that Service Code!
You call a parent to discuss client progress and support them in developing improved parenting strategies to meet their child's emotional needs.
Collateral Services
True or False: Client is 18yrs and isn't able to consent to treatment. Parent consent is needed.
FALSE! Client is able to consent to treatment on their own.
You call a parent to check in regarding scheduling and ask about how things are going at home. What can you bill for?
Collateral
You meet the client for a session in the Wellness Center.
Individual Counseling/Therapy
Gathered Information
Assessment
Interviewing a client to determine a possible new diagnosis
Assessment
True or False: Client is in the hall when they were referred, therefore you can't provide an assessment.
FALSE! Coordinate with probation to see when they will be release or if they want an assessment done at the hall. Assessment will only be good for 30 days. This will be a nonbillable assessment.
You meet your client at school for counseling and while you're waiting you check in with a teacher or school staff about attendance, grades, or school behavior. What can you bill for?
Assessment. You are collecting information from them and how this might relate to their substance use.
You support a client during a CFT meeting sharing their progress in treatment. What do you bill?
Care Coordination
Explored the impact of past trauma
Individual Therapy/Counseling OR Family Therapy OR Collateral.
Discussing client's goals and progress in treatment.
Plan Development
After obtaining signed consents, you call client's parent to set up a time to meet for your intake session. While on the call, they begin sharing with you all of their concerns about the client and you end up discussing this for 35 minutes. What do you bill for?
Assessment
Following a session at school, you talk to the school social worker and brainstorm strategies that can be implemented in the school environment that can support your client's ability to regulate in class. What do you bill for?
Care Coordination.
True or False: You are not allowed to drug test a client at school.
False! It depends on the school and client.
It is best to UA at the clinic for confidentiality.
Safety Planned
Plan Development, Family Therapy, Individual Therapy/Counseling, or Collateral (depends on situation!)
Providing feedback to other providers about a client's progress and barriers in treatment.
Care Coordination
30 days to complete the ASAM and have a diagnosis. However, per Aldea standards, we want it in 10 days.
You call a client for a telehealth session, but end up talking with the caregiver for 25 minutes following to discuss the client's 6 month review. What do you bill?
Two notes! Individual Counseling for the telehealth session with the client and 25 min Plan Development note for discussing progress and the plan moving forward with the caregiver.
You, the school psychologist, mom, PO and teacher all discuss the client's recent substance use at school and what might be leading to this. You encourage mom to share her concerns and you offer insight in the possibility of client needing mental health support outside of school. What do you bill for?
Care Coordination.
Collaborated on
Plan Development or Individual Therapy/counseling (based on bulk of the note)
Providing client with psychoeducation regarding substance use.
Individual counseling.
After your initial intake ASAM, your client opens up and reports other substance use. What steps do you take to assess this new substance use and what service code would you use?
Complete a Re-ASAM and bill assessment.
You support a client during a CFT with their CWS worker, ACS counselor, grandma (current caregiver) and parents in attendance. You then have a follow-up conversation with the grandma who provides new information about clients most recent new drug of choice. Following that, you meet with the client 1:1 to discuss how the meeting felt to them. You support them in utilizing coping strategies when they become anxious during your conversation. What do you bill for?
3 notes! For the CFT, you bill Care Coordination. For the conversation with grandmother, Assessment. For the processing conversation with the client, Individual Counseling/Therapy.
You have a 5 minute conversation in the hallway with a school counselor who thanks you for the work you're doing with the client. Then you discuss a better time and room to meet with the client so you don't pull them from math, which they are currently failing. What do you bill for?
Nothing! Unless you can extend that conversation to include strategies, you'd encourage staff to use with the client OR you ask exploratory questions about clinical presentation at school, then you'd bill Care Coordination.
Provided resources to
Care Coordination, Individual Therapy/Counseling, depending on content/people/situation!