POLICIES & PROCEDURES
BILLING GUIDELINES
SERVICE CODES
IF THIS, THEN THIS
FUN FACTS
100

Who is the target population for community support services?

anyone with a primary mental health diagnosis

100

How many contacts must a TCM get for it to be billed at the end of the month?

4, 2 of which have to be face to face

100

What code is used for individual therapy?

50150

100

If a consumer is under 6 years old, then the program regardless of location should be what?

113

100

Pathways is how many years old?

Founded in 1966, Pathways is 60 years old!

200

What are the qualifiers for someone to be eligible for TCM?

SMI/SED/SUD, LOC of 3+

200

PSS can bill a minimum of how many minutes?

8

200

What code is used for TCM indirect SUD contact?

69007

200

If you want to know how many days of maternity leave you can get then you should reference what?

Employee Handbook

200

How many times has Pathways won Best Places to Work?

4 times! :)

300

True or False:

A MH PSS can see someone with SUD?

False; consumers with SUD dx, primary or otherwise must be seen by a RADPSS.

300

A therapist led group must be a minimum of how many minutes?

45 minutes

300

What code is used for crisis at schools?

99150

300

If doing an intake and there is no proof of income then what amount is listed on the CDS and fee agreement?

$1.00

300

True or False: 

Pathways is one of the core four CCBBHCs

True!

400

What do we do if school staff want us to see a crisis but the guardian/parent is unable to be reached?

Ask the staff to explain the situation, If the crisis does not sound imminent, inform we need consents to see student. If the threat does sound viable, we have legal authority to assess without consents. 

400

How many consumers can be in IOP?

10

400

What code is used for TR when it hits 180 mins or greater?

15112

400

If it's the end of the school day and the school has a crisis and school staff is gone, then school admin should call what #?

988

400

Jennifer Willis was in what role before becoming our CEO?

Director of Nursing

500

How many days is an IOP treatment plan good for?

60 days

500

What code and note type and template are used for 202a Evaluations?

33150 if in office, 5 billable components, crisis note type and 202a add on.

500

What group code is used for comprehensive SUD group?

53151

500

If a consumer is utilizing webex from their porch, which location should be used?

Telehealth. Telehome is only used if the consumer is INSIDE their home.

500
In the 1990s, What company was Pathways accredited under?

JACHO