Activities
Which activity should be selected if the therapist meets with the client to process thoughts, feelings, impact of family dynamics, etc?
Individual Psychotherapy
What activity should I select for my first assessment session?
1. Intake Assessment
Which activity should be selected if a provider reviews DCFS documents outside of session times to support treatment with client?
Record Review
Where do I put my minutes (in the appointment details of the note) for Record Review?
In Other Time Box
What is needed before providing any SMHS?
Consent for Treatment and Notice to Privacy Practices
Which activity should be selected if therapist, mom, brother, and client participated in a session about the impact of family dynamics?
Family Psychotherapy
What activity should be selected if the therapist or case manager met with client's teacher to provide skills/psychoeducation to better support client in the classroom?
Which activity should be selected if provider called mom to get updates about client's behaviors, which impacts the course of treatment?
Plan Development
What is information goes into the "Other Details" section of the progress note?
Examples Include: Travel time, language sentence (or if interpreter is utilized), signatures that may have been collected and any adminstrative tasks (Remember adminstrative tasks are not part of billable time).
True or False. I can obtain verbal consent on a Release of Information Form?
False. All Release of Information forms require a physical or electronic signature.
Which activity should be selected when the therapist is gathering information for the re-assessment?
Assessment
Which activity should be selected if therapist or case manager linked client/caregiver to educational resources?
TCM
** must have a TCM goal on the treatment plan to provide TCM services**
Which activity should be selected if provider met with father to provide parenting skills to better work with the client at home?
Collateral
When should the non-contact box be selected?
Any session where you visually cannot see the client's face.
How long is a release of information valid?
365 days.
Which activity should I select to make a request for psychiatric evaluation?
Other Services - Psychiatry Services Referral
*Also send Memo to Psychiatry Support Team
True or False.
Multiple services can be combined in one note (ex: providing parenting skills to mom and exploring resources/linkages in the same session note).
False. 2 distinct services should be documented in 2 separate notes.
*TCM has a separate billing rate/code
If you are providing Individual Rehab or Collateral services and the Client has been pre-authorized for IHBS, What activity would you select?
IHBS
Can I bill travel time if I drive to client's home and no one is home but I call and speak to client and we have an individual rehab session over the phone?
No. Travel time must be linked to the delivery of an in-person reimbursable service.
What must be provided to each client you provide services to (this includes your group therapy clients)?
Notice to Psychotherapy Clients
Which activity should be selected if the client was in a crisis state and the therapist was able to stabilize the client without hospitalization/outside intervention?
Psychotherapy for Crisis
Which activity should be selected if the provider follows up with a resource regarding caregiver's application for financial assistance?
TCM
Which activity should be selected for rescheduling a session?
Non-billable.
If there are new behaviors I'd like to work on that have not been identified on the assessment, which document should I record the new behaviors on?
You would document this in the progress note
What form must be completed and signed when Client turns 18?
Advance Health Care Directive
*Make sure this is signed and a copy is offered