Billing Codes
What are the 3 billing codes you will use in CoCM?
99492, 99493, 99494
Informed consent and the preliminary care plan
When meeting with a high risk patient, what three documents should be provided to patient?
Safety plan, crisis numbers handout, suicide prevention handout
How many diagnoses can you use for a patient?
As many as they qualify for.
True or False: You must always send your initial visit assessment to the psych for review?
True
Which code is used for an initial visit?
99492
If doing a telehealth visit, what needs to be included in the note?
Blurb stating it the visit was via telehealth, how patient was identified, physical location, and emergency contact info
When a patient no-shows for an appt, what should you do?
Call/text patient, see if patient is able for a phone session, reschedule for soonest appt when needed.
What is the name of the diversity movement that is strongest in the autistic community?
Neurodiversity
What two types of goals have to be included in a treatment plan?
One physical/medical and one behavioral health related
True or False: You can use 99492 and 99493 in the same month?
False
When completing a screening with a patient, what should be included in the note?
Name of screening completed, results, and interpretation of score.
If you're interrupted by the office stating there's a crisis patient, how should you proceed?
Talk to staff member/provider outside your room, let them know you'll wrap up your session in X amount of time, and find where the crisis patient is.
What should be the first line of treatment for insomnia?
CBT-Insomnia
When reviewing informed consent with a patient, what should be highlighted?
-Confidentiality unless danger to self, others, or child abuse
-Work as a team so there will be discussion with PCP
-Supervisor will be consulted periodically to guide treatment
How many times can an initial visit code be used?
Once, with the exception being if patient has not been since in 6+ months.
Is it better to have a vague diagnosis or a specific diagnosis and why?
Specific - better/more accurate treatment options, reimbursement, etc.
When requesting a med recommendation from psych, what info do they need?
Current meds, med history, what worked and didn't work, physical health problems, current symptoms, and any screenings completed
What is the placeholder diagnosis used in NeuroFlow when first adding a patient?
Z13.39 - Encounter for screening examination for other mental health and behavioral health disorders
In order to qualify for your quarterly bonus, what are the requirements and in what order?
Neuroflow journal entries (18/month) plus 3 CEU's per quarter, monthly chart audit, avg patients seen/month (7)
If you saw patient Joe for an initial visit on 11/3 and then had a follow up appt with him on 11/30, what billing codes would you use?
99492 and 99494
What is the minimal time we need to put in our note for each code?
99492 - 36 min
99493 - 31 min
99494 - 30 min
Our goal should be moving patients towards how many visits per month?
ONCE PER MONTH
If having difficulty seeing a daily avg of 7, what can YOU do during the day?
Talk with providers/MAs/office managers, attend staff meetings, scrub provider schedules, review your registry for patients that haven't been seen recently or need to be seen such as high risk.
Explain the enhanced CoCM triangle.