Support Services (CSI)
True or False: If a client has CSI units, you must bill CSI 2x monthly or show attempts to coordinate services/resources?
True
What is the least amount of time you can bill for individual therapy?
What is the least amount of time you can bill Family Therapy for Amerigroup?
What is the least amount of time you can bill CSI?
IT - 16 Minutes
FT - 50 Minutes
CSI - 8 Minutes
Name at least four essential components that must be included in a therapy progress note?
- Evidence Based Practice Interventions
- Client's Response to Intervention
- Client's Progress
- Progress Towards Discharge
- MSE Assessment
- SI/HI/SIB
- Plan for Ongoing Treatment
In your last session, a client reported passive suicidal ideation in the last week. Which of the following steps should you take?
A) Update their safety plan to include SI.
B) Complete C-SSRS Since Last Visit screening.
C) Add a goal to their treatment plan to address suicidal ideation.
D) Add a critical alert to the client's chart.
E) All of the above.
E) All of the above.
How often should clients/guardians be presented with Client Rights & Responsibilities and Consent Forms to review and sign?
At intake and then at least annually.
You attended a client’s IEP meeting and actively contributed to the conversation for 1 hour. How many CSI units could you bill for?
How many interventions would you document for a 30-minute collaboration meeting with school staff?
(4units = 1 hours;
1 unit = 15 mins)
At least 2 interventions
True or False: A family therapy session can result in a payback if the guardian isn’t present for the entire session
True
Your client has Asthma and uses an inhaler as needed. Is it a requirement to list Asthma on their treatment plan?
Yes – all medical diagnoses must be included even if they decline to address them in therapy.
If a client reports suicidal ideation how long must you complete a C-SSRS Since Last Visit screening at each session?
Until client has had no instances of suicidal ideation for 4 months.
When should a diagnostic verification be completed?
Clients seeing a non-licensed clinician (including associate status) should have a Diagnostic Verification completed within 30 days of intake and again annually. The verification can be completed by a fully licensed clinician or psychiatrist.
If a therapist is working with school-based clients, it is best practice to collaborate with school staff utilizing which service? CSI or CSI Collateral?
Bonus: If a clinician only spoke for 30 minutes in an IEP that was scheduled for an hour and 30 minutes, how many billable minutes can they schedule?
CSI Collateral
BONUS: 30 minutes – 2 units
True or False: We can have a phone conversation without a client and bill it as Family Therapy Telephonic or in-clinic.
False. The only service that can be billed as telephonic is CSI collateral.
True or False: To bill CSI (or CSI collateral) you must have at least one CSI intervention listed on the Treatment Plan.
True
True or False: Suicidality must be addressed on treatment plan when reported by clients.
What is CHRIS 180’s standard for timely documentation (meaning documents are completed and fully signed)?
48 hours from time of encounter for progress notes and 72 hours for BHA and Treatment Plans.
What title should a therapist use when writing notes for support services like CSI?
Clinician or Therapist
Name at least 3 factors that contribute to paybacks from an audit.
Late notes, incorrect or out-of-date service orders, not having an active treatment plan, incorrect billing location, incorrect vocabulary (CSI on an IT), note doesn’t justify amount of time billed and result in paybacks from our CHRIS 180 funding.
What is a potential consequence of having redundant content in a therapy note for several sessions in a row?
A payback
List at least one objective that could be added to a treatment plan to address suicidality.
SpongeBob will name at least 3 people that may be impacted by their suicide.
SpongeBob will create a safety plan and list at least two people they can contact for support.
SpongeBob will identify at least 3 triggers for suicidal ideation.
SpongeBob will learn at least two new coping skills to manage instances of suicidal ideation.
When should clinical orders be completed?
At intake, and then annually. Also, if a new service is being requested. Must be signed by a fully licensed clinician within 24 hours of the date of service!
Per DBHDD, how many CSI sessions must be completed each month in person?
1
True or False:
Two interventions for a 1-hour session is adequate.
False – progress note content including interventions used must justify the amount of time billed for the session.
Creating a safe space for clients is pivotal to your role as therapist. What aspect of meeting with a new client can you NOT bill for?
Rapport building
Your client is currently in the hospital after a suicide attempt. What is the name of the document you’ll need to complete within 24 hours of their release from the hospital?
Suicide Risk Follow Up Note
True or False: CANS/ANSA, CPR, QPR, and Mindset are all required trainings for CHRIS 180 clinicians and must be completed annually.
BONUS: True or False: You can obtain verbal consent for a Release of Information from a client’s guardian.
False: CPR is required every 2 years. All others are annually.
BONUS: FALSE – Only hard signatures are valid for ROI’s.