Psychiatry
Connections
Forms
Programs
Potpourri
100

60 minutes

What is the duration of a first time evaluation.

100

Preliminary enrollment

What is the episode type for new clients entering service?

100

The form used to open a chart, add an episode, or add an attending practitioner

What is admission?

100

It allows clients to sign forms electronically.

What is DocuSign?

100

A dog or sometimes miniature horse that preforms a task for a person with a disability

What is a service animal?

200

The service code for all psych appointments except the first time evaluation

What is psych?
200

120 minutes

What is the duration of a comprhensive assessment?

200

The form signed to indicate who we can verbally share PHI with

What is the permissions and communications form?

200
The internet based phone system

What is WebEx?

200

Time on the calendar set aside for certain appointment types

What are appointment blocks?

300
The service code for a first time evaluation

What is 90792?

300

The service code for a comprehensive assessment.

What is 90791CA

300

The form filled out for minors

What is the Acknowledgement of Legal Guardianship?

300

Myhealthpointe

What is the client's portal?
300

Your initials and date

What are items always entered into appointment notes?

400

The staff you notify through the appointment calendar when checking in a client?

Who is the nurse?

400

Clients using an EAP, seeking recovery services, autism services, psychological testing or the focus clinic

Who are clients who do not complete a comprehensive assessment at a Connection Center

400

Cross Episode Financial Eligibility

What is the form used to input a client's insurance or payment method?

400

Converge

What is the website used to enter a payment?

400

It protects the information of clients in recovery services

What is 42 CFR Part 2

500

The client did not provide adequate or any notice of a missed appointment

What is a no show?

500

Fin due, opt in/opt out email and text

What is information added to a client alert

500

 The form for clients with Medicaid to participate in healthcare at home services.

What is the HCH Participation Agreement?

500

It sends appointment reminders

What is Clienttell?

500

The CEO of Brightli

Who is C.J. Davis