Policies
Billing
Specialty
100
3 face to face interactions and 2 phone calls.
What is the no show policy?
100
Documenting appearance, affect, symptoms, status and ISP goals.
What is the face to face code (100C)?
100
Client who is interested in competitive housing.
Who is referred to ACT Housing Specialist?
200
Phone call after 24 hours, home visit after 48 hours and emergency contact coordination after 72 hours.
What is the no show policy?
200
Client is receiving skill building services.
What is a 720/722 code?
200
Client who needs to be taught nutrition education, budgeting skills and how to take medications independently.
Who is referred to ACT Independent Living Specialist?
300
Scheduled prescribers appointment within 3 business day and nursing appointment with 7 business days.
What is the discharge follow up appointment policy?
300
Client is receiving medication observation
What is a 805 code?
300
Client who needs assistance with advocating and/or communicating with peers and/or family about their status, goals, mental illness and needs.
Who is referred to ACT Peer Support Specialist?
400
Contact social worker within 24 hours, complete face to face and doc to doc within 72 hours.
What is psychiatric inpatient contact guidelines?
400
Documenting the assessment of at least the utilities, health/safety concerns, food, medications/side effects, appearance, affect and status/ISP goals.
What is a home visit (100C-12) code?
400
Client wants to work but prescriber reports she's unable to.
Who is referred to ACT Rehab Specialist and Voc Rehab (VR)?
500
Prescriber appointment within 5 business days and nursing appointment within 10 business days.
What is the medical inpatient discharge follow-up appointment?
500
Reason: Specialist transported John Doe home. Purpose: John Doe was quiet during drive home however sang-along with the radio. He was appropriate and well groomed. Progress: John Doe is attending appointments with team assistance. Plan: Clinical team will continue to follow up and support as needed.
What is transportation (848/849) code?
500
Client is working and going to school; living independently in their own apartment; meeting their ISP goals independently and has not had any psychiatric or medical hospitalizations in at least 2 years.
Who is referred to ACT RIC?