ACBHCS QA 4.2013 - Alameda County Behavioral Health

More documents

Recommendations

Info

Psychiatric Diagnostic Evaluation Procedure Codes: 323—90791, 565—90792 Cont. • Reporting Psychiatric Diagnostic Procedures • Each Psychiatric Diagnostic Codes may be reported only once per day (unless seeing the client and significant other separately). • 323‐90791 Psych Diag Eval may be provided by a non‐medical provider on the same day 565‐90792 Psych Diag Eval with Medical Component is provided by a medical provider (psychiatrist/ANP/PA). • Cannot be reported with an E/M code on same day by same individual provider. • Cannot be reported with psychotherapy service code on same day by any provider. • May be reported more than once for a client when separate diagnostic evaluations are conducted with the client and other collaterals (such as family members, guardians, and significant others). 1. Diagnostic evaluation for child with child. 2. Diagnostic evaluation for child with caretaker. • Use the same codes, for later reassessment, as indicated.
Non E/M Codes (Psychotherapy & Crisis): Time Periods & (+) Add‐ On Codes • Choose the procedure code based on the f‐f time spent in session (or contact time on phone—indicate phone in location field) • Supporting Documentation & Travel Time will be included in Total Time • “Add‐on+”, a new code for additional time spent in session (Crisis Therapy only) • “Add‐on+”, a code based on Intensity of Service Provided (Interactive Complexity) for Diag Eval, Ind & Group Psychotherapy (per individual) & E/M with + add‐on Psychotherapy)
Page 1 and 2: ACBHCS QA 4.2013
Page 3 and 4: AGENDA • Why we are doing this tr
Page 5 and 6: New InSyst Procedure codes map to M
Page 7 and 8: Retained Procedure Codes Old New CP
Page 9: Psychiatric Diagnostic Evaluation P
Page 13 and 14: Time Spent in Session: examples 1.
Page 15 and 16: PSYCHOTHERAPY FACE TO FACE TIME = 3
Page 17 and 18: Add‐On Codes (+) Add‐On (+) cod
Page 19 and 20: Crisis Code 377‐90839 (Used Alone
Page 21 and 22: Crisis Code 377‐90839 + 378‐908
Page 23 and 24: Add‐On Code for Additional Servic
Page 29 and 30: Interactive Complexity (+) 491‐ 9
Page 31 and 32: Psychotherapy Add‐on Codes to E/M
Page 33 and 34: Evaluation and Management (E/M) Cod
Page 35 and 36: CPT E/M New client Definition—CBO
Page 37 and 38: Two Paths to E/M Selection • PATH
Page 39 and 40: Path 1: Choosing the E/M Code Based
Page 47 and 48: See hand‐outs Progress Note Templ
Page 49 and 50: Medical Necessity—CMS • The Cen
Page 51 and 52: General Principles of Documentation
Page 57: Path 2: Choosing the E/M Code Based
Page 63 and 64:
See E/M Progress Note Template Base
Page 65 and 66:
Medication Support: RN/LVN/Psych Te
Page 67 and 68:
Elimination of AB3632 procedure cod
Page 69 and 70:
Training Resources: The National Co
Page 71:
Resources continued: • AMA Code B
show all

ACBHCS QA 4.2013 - Alameda County Behavioral Health

Create successful ePaper yourself

Delete template?

Save as template?