EDNA
Billing/Coding
Referrals
Mental Health Team
Clinical Corner
10

The following is NOT a current EDNA location:  Venice, Bradenton, Delray Beach, Bonita Beach.

What is Bonita Beach?
10

This code is for used for treatment plans for commercial insurances.

What is NBTP?

10
Known as NAMI, this organization has many programs we can refer our patients to and we walk to raise money in support of it.

What is the National Alliance on Mental Illness?

10

MH team meetings have historically been held on this day of the week.

What is Tuesday?

10

A score of 9 on the PHQ-9 indicates:

What is mild depression?

20

The "A" in EDNA stands for:

Who is Asher?

20

This code can be billed up to 4x/year for certain Medicaid insurances.

What is H0032, TS?

20

An all day treatment program with individual and group therapy that is aimed at reducing the need for higher levels of care for youth.

What is the BHDS (Behavioral Health Day Service)?

20
Our team helps to spread the word about this recently added crisis line implemented in the U.S.

What is 988?

20

ICD-10 code for Generalized Anxiety Disorder.

What is F41.1?

30

A clinical department that we did not actually have at the time of our first open house when the first company started?

What is Psychiatry?

30

This insurance is the umbrella company for OSCAR, UMR and Optum/AVMED.

What is United Behavioral Health?

30

A non-invasive psychiatry intervention that stimulates nerve cells in the brain to improve the symptoms of depression.

What is Transcranial Magnetic Stimulation (TMS)?

30

A licensed therapist who is a clinical-go to within an office and helps to disseminate information communicated by Regional leadership.

Who is the Therapy Lead?

30

A distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least 4 consecutive days but not required for the diagnosis of bipolar I disorder.

What is a hypomanic episode?

40

A company-wide initiative in 2021 was to reduce our use of:

What are disposable cups?

40

What you will need to obtain when the patient you are seeing has a medicare replacement plan or third party insurance you are not on par with.

What is a staffing?

40

An intensive therapy program that includes case management and is aimed at reducing the risk of re-hospitalization with visits up to 3x/wk for BCBS patients.

What is BHH?

40

These individuals are integral to the running of the psychiatry dept. and help with everything from obtaining samples to giving injections. 

Who are the Medical Assistants?

40

An unconscious process that represents the way in which the patients’ view of and relations with people are expressed in current feelings, attitudes and behaviors in regard to the therapist.

What is Transference?

50

An employee known by all who has worn many hats but started as our very first front desk person.

Who is Cristina Johansson?

50
This Sunshine plan is billed for therapy with 9-codes only.

What is Sunshine/Centene Ambetter?

50

Individualized care planning and management services for children with complex needs with an emphasis on building the child and family's support network for Medicaid patients that includes team meetings. 

What is WRAP around TCM?

50

We have at least 2 or more people with this name on the MH team EXCEPT for Tiffany, Marylou, Erin, or Megan?

Who is Erin?

50

In the DSM-V, hypochondriasis was replaced by these two diagnoses.

What is Somatic Symptom disorder and Illness Anxiety disorder?

Side note: Both have high health-related anxiety, but some somatic symptoms are required for SSD.  Hypo. was removed from DSM because it was considered perjorative to patients.

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