BHA
How should you start every narrative box in your BHA?
What is the unit/subunit and date?
The YTSE is required for clients at what age?
Bonus: 50 points - tell us when the YTSE needs to be administered
What is 16 and older?
Every 6 months (at birthday and half birthday)
You are discharging your client. What should you do to the client plan? (there are several steps, name at least one)
Revise
inactivate or resolve tiers
update status dates
modify end date
You provided a collateral service over the phone while telecommuting from your home. What indicator will you use for "provided at" and "contact type?"
What is "office" and "telephone?"
What would make a client eligible for class?
open case, meets medical necessity, full scope medi-cal
The "Cultural Information" may include various factors, however it must always relate back to client's _________.
What is client's mental health?
These 2 assessments are needed when a client is hospitalized?
What is HRA & KET
When it comes to interventions, the county wants you to do what?
What is individualize?
You provided a service via Zoom. What indicator will you select for "provided at" and "contact type?"
What is telehealth and telehealth?
A pathways eligible client must have a progress report sent to CWS within what time frame from opening?
50 point bonus- if you can name another time you send the progress report
What is 30 days?
-at UM, when client plan gets updated, status changes, case closes
Name at least 3 things that should be included in your clinical formulation.
Medical necessity
diagnosis,
symptoms and impairments.
Planned treatment-length, modalities
potential referrals
recommendations for tx
summary of clinical findings
You are discharging your client. Name two things you should enter into cerner.
(50 point) Bonus if you can name the 3 outcome measures that are also required.
-Discharge summary
-eligibility for pathways form
-final note
Bonus: PSC, CANS, KET
You have requested a case manager to provide additional support on your case. Name at least 2 service codes you will add to the client plan.
Bonus 50 points if you can name all 3 possible codes for the case managers.
50
34
36
You are bilingual and provided your services in Spanish. What two things must you select in the encounters information of your note?
1. language (billing type)- Spanish
2. intensity type - bilingual program staff
A CFT referral for a Subclass client must be completed within 30 days from opening and how many days after?
What is every 90 days?
Provide two examples of when a BHA should be updated.
When Pathways status changes
When diagnosis changes
Annually
A BHA, discharge summary or client plan was completed. You are writing the associated note. What should you include in the narrative of the note, and the billing?
What is documentation time in the billing, and in the note "time to complete ___ in cerner included in doc time."
Your objectives need to be "____ and _______."
What is quantifiable and measurable?
This must be included in EVERY billable note. Name what it is and give an example.
Medical necessity.
An example would include symptoms, impairments, and an example of the impairment.
What service code should you add to your client plan if your client meets subclass criteria, or if you will be providing enhanced services to a non-subclass client?
What is service code 82?
When completing the PRA, any yes response requires what 2 things (3 if unlicensed)?
What is
1. an explanation in the "overall risk & treatment planning section."
2. creation of a safety plan
3. documenting consultation with a licensed supervisor
The PSC and CANS need to be completed when, and at what intervals?
What is at intake and discharge, and every 6 months or at UM, whichever comes first.
What are at least 2 things that should be included in the area of need?
symptoms
behaviors
impairments
what parent or client states their needs are
what the parent/child would like from treatment
In general, what is the difference between a 33 and a 50?
33- collateral, providing psychoeducation
50- providing resources, referrals, discussing progress towards specific goals on the client plan, safety planning/assessment
Your pathways client is closing services with you. What 3 things must you do at closing?
What is
1. fax the progress report to CWS
2. input the discharge eligibility for pathways form
3. flip the switch (or let program aid know to do so)