Codes
What code should be used to engage the member in work-related activities such as resume prep and assistance finding employment?
H2027: Pre-Job Training and Development
True or False: All email communication must be copied and pasted into your NG note.
True
What is the modifier for group?
HQ
H0038: Peer Support Services
True or False: 7 minutes of service qualifies as a billable unit.
False.
What is the main case management service code?
T1016
How long do you have to correct a note that used the wrong template?
48 hours
What are the two POS modifiers for telehealth?
02: Telehealth member NOT at home
10: Telehealth member at home
True or False: If a member's SDoH are affecting treatment AND it's relevant to the session, a Z-code must be documented and listed in the note.
True
True or False: H2027 and H2025 cannot be billed on the same day.
True.
If a BHT gathers and analyzes member information to create a written assessment to include clinical recommendations, what code should be applied?
H0031: Mental Health Assessment
At what point is a note required to be labeled as 'late entry?'
24 hours after service
Which 2 modifiers can be used to indicate a telehealth session?
GT = Audio/video
FQ = phone
What is a Z-code?
Diagnostic codes used to document social determinants of health (SDoH) - nonmedical factors that affect a member's health outcomes
Per Copa policy, notes are to be entered within ....?
24 hours (ideally, immediately after or concurrently)
What code should be used for a session that focuses on teaching independent living, social, and/or communication as skills?
H2014 (can be provided one on one, in a group, or with family)
Every note should include "next steps." What 3 elements are considered part of "next steps?"
1. Plan for future sessions.
2. Follow-up tasks (referrals, coordination, additional support)
3. Adjust treatment goals, if needed.
What does POS 99 represent?
Other: must define location in the note (ex: hospital, jail, park, etc.)
What code should be used for interactive therapy at the BHT level?
H0004: Behavioral Health Counseling & Therapy
If you meet with a member at their school (K-12), what needs to be in the note?
The school name and city
What code should be used for planned outreach to engage individuals who may not seek help on their own that lasts less than 8 minutes (and no other case management has been billed that day)?
H0023
What must good documentation answer (hint: there are 6 answers) ?
Who (provider & member)
What (service provided)
Where (location of service)
When (date & time)
Why (clinical necessity/reason for visit)
How (method used & outcomes)
If meeting on the street with an unsheltered member to provide T1016 or H0023, what POS should be used?
27: Outreach site/street visit (unsheltered members only)
What should you do if there is not an applicable Z-code to select?
Open the Health-Related Social Needs template and select the appropriate option (be sure to save and generate template!)
What is the main difference between H2027 and H2025?
H2027 is focused on pre-employment activities while H2025 is for ongoing employment support