Billing information
CPT Code (ex: 92507, 92523)
How does the funding source know what we are billing?
Ex: Mom, dad, grandma
Who brought the kiddo?
Skill or Goal
How does the funding source know what we are working on?
Summation of data for session
What are the insurance companies really wanting to know?
Homework for the week
How do we get the parents involved?
Time of session (Ex: 1-1:30pm or 2-3pm)
How does the funding source know how long our session is?
temperament
How can we explain why the session went well or went badly?
Receptive or Expressive
What are you working on?
Prompting levels per skill
How do we know if the child is learning the skill?
For next session
What skill or goal were you not able to get to during this session?
Unit designation (Ex: 1 unit)
How does the funding source know how many units to include?
Anything caregiver reported that has happened leading up to their arrival (Ex: mom reported they woke up at 5am)
How can we predict how our session will go?
Title, author, page #
What materials are you using?
Minimum of 5 trials per skill, if possible
How will the funding sources know that our data is sufficient?
Language NOT to use
"Play", "Same", "Continue plan of care"
# of units (Ex: 53tx or 23tx)
How do we tell the funding source how many units our session is worth?
Report anything they brought that will be used in the session (ex: AAC device charged/ forgotten)
This provides information about how prepared the family is when looking at the overall picture
Trial data: include every instance you elicit, positive or negative
How can we know how the child is doing?
Progress statement: did they increase or decrease from the last time you implemented this skill?
In general, how will the insurance companies know how the child is progressing?
In clinic or teletherapy
What kind of therapy was your session?
For teletherapy sessions
We must state whether the parents have given their consent for the session.
Minimum of 5 trials per set
How does anyone know that our data is sufficient?