ACBHCS QA 4.2013 - Alameda County Behavioral Health

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Add‐On Code for Additional Service Provided: Interactive Complexity (491‐90785) cont. 4 specific communication factors during a visit that complicate delivery of the primary psychiatric procedure: 1. The need to manage maladaptive communication (related to e.g., high anxiety, high reactivity, repeated questions, or disagreement) among participants that complicates delivery of care. • Vignette (reported with 442‐90834, Psychotherapy 45 min) • Psychotherapy for an older elementary school‐aged child accompanied by divorced parents, reporting declining grades, temper outbursts, and bedtime difficulties. Parents are extremely anxious and repeatedly ask questions about the treatment process. Each parent continually challenges the other’s observations of the client.
Add‐On Code for Additional Service Provided: Interactive Complexity (491‐90785) cont. 4 specific communication factors during a visit that complicate delivery of the primary psychiatric procedure: 2. Caregiver emotions or behaviors that interfere with implementation of the treatment plan • Vignette (reported with 441‐90832, psychotherapy 30 min) • Psychotherapy for young elementary school‐aged child. During the parent portion of the visit, mother has difficulty refocusing from verbalizing her own job stress to grasp the recommended behavioral interventions for her child.
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 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: Add‐On Code for Additional Servic
Page 27 and 28: 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

ACBHCS QA 4.2013 - Alameda County Behavioral Health

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