ACBHCS QA 4.2013 - Alameda County Behavioral Health

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Claiming Face‐to‐Face Time and Total Time: Clinician’s Gateway Psychotherapy: 36” f‐f time, 10” doc. time, and 20” travel time. Total time = 66”. (1:06) • Choose code based on f‐f time (or contact time for telephone) and enter that amount of time for that code: • 441‐90832 (Ind Psych 16‐37 min.) enter: 36” in “Primary F‐F Time” • Total time. Enter: 66” (1:06) in: “Primary Clinician Time” Warning: To choose code based on total time would be considered Fraudulent by Medicare.
PSYCHOTHERAPY FACE TO FACE TIME = 36” (:36) DOC/TRAVEL TIME = 30” (:30) TOTAL TIME = 66” (1:06)
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 and 10: Psychiatric Diagnostic Evaluation P
Page 11 and 12: Non E/M Codes (Psychotherapy & Cris
Page 13: Time Spent in Session: examples 1.
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
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ACBHCS QA 4.2013 - Alameda County Behavioral Health

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