Functional Assessment
How many hours do you get to bill under Functional Assessment when completing paperwork with a client in session?
4
Which parts of the treatment plans need baselines?
The objectives.
What form do you fill out if you feel "off" about a client interaction or situation?
This form is also used to document when a client expresses suicidal or homicidal ideation.
This form is also used to document no call no shows.
Collateral Note
Give me three examples of nonbillable hours.
Documentation time, individual supervision, group supervision, all staff meetings, client contact, no call no shows, making reports
You have a client that you have not been able to get in touch with. What do you do?
Reach out 2 times a week for 30 days. Contact all available forms of contact after 2 weeks of no contact/response. After 30 days, discharge the client for no contact.
What forms are completed during 12 month updates?
How about 6 months?
12 months: IC, SP, FA, MHIS
6 months: FA, MHIS
2 rehab goals!
Sometimes there can be only 1 if the client does not have a lot of goal areas to focus on. Most of the time we can make it into 2.
There can be 3 with CPSS goal.
This form is used to update the state about our clients statuses.
MHIS forms
Give me three examples of billable hours.
Functional assessment, individual treatment planning, basic living and skills, community
You have one of your clients therapist's emailing you asking to meet to discuss your mutual client. What do you do?
1. Check to see if there is an ROI in the clients chart. If there is not, reach out to the client asking if they would like to create an ROI for you and their therapist to talk.
2. If they have an ROI in the chart, then you can set up a meeting. Once you have the meeting, you will bill for community and fill out a community intervention note.
What goes in domain 1 functioning box?
Copy and paste the diagnostic impression from the most recent DA in the clients chart.
What is the structure of the treatment plan?
1 rehab goal has 2 objectives and each objective has a minimum of 2 interventions.
These are filled out every session, including paperwork sessions. Normally these are completed concurrently with sessions.
Progress notes
How many f2f hours are expected for a full time practitioner?
22 f2f hours
You have a client tell you that they are having some suicidal ideation in session. What steps do you take?
1. Review their safety plan with them that you created.
2. Call the crisis line together.
3. Follow instruction from the crisis line for next steps (hospitalization, safer environment, verbal contract until next session, etc.)
3. Create a collateral note and send it to supervisor
4. Fill out the SRA at home after the session and note the actions taken in your progress note.
5. Follow through on the plan you created with the client.
What goes in the status boxes on the FA?
What is current.
If a client has a guardian, how does that change the ITP process?
If the guardian is present during the ITP session, you will add them to the top of the forms in the "individuals involved" section.
You will need to get the guardian's signature in addition to the client's signature.
These are due every 3 months and are completed during group supervisions.
Case Consults
What is considered full time at Alliance?
30 hours minimum, 40 hours maximum
What is the form called with all of your clients paperwork due dates, PMI numbers, and DA update status called?
What goes in the functioning boxes on the FA?
1. The clients strength
2. Does the client want help from ARMHS?
3. Mental health symptom impact
How many hours of billing do you get to complete the ITP after completing the FA?
2 hours
This assessment is used when your client expresses suicidal ideation or you observe suicidal behaviors.
Suicide risk assessment
If you make a billing error in your time card, what can you do?
1. You can delete the line yourself
2. You can contact your supervisor for support
3. You can email mentalhealthbilling for when the error has been billed.
You have 4 clients in a day. You travel to each of them.
from home to client 1 it was 15 mins 10 miles
from client 1 to client 2 it was 24 mins 16 miles
from client 2 to client 3 it was 6 mins and 3 miles
from client 3 to client 4 it was 10 mins and 7 miles
from client 4 to home it was 27 mins and 13 miles
How would you bill these travel lines?
Client 1 travel: 15 mins 10 miles
Client 2 travel: 24 mins 16 miles
Client 3 travel: 6 mins 3 miles
Client 4 travel: 37 and 20 miles