ACBHCS QA 4.2013 - Alameda County Behavioral Health

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Overarching Themes • Three methods described for documenting codes (know when an explanation applies to your staff): • In Clinician’s Gateway—<strong>County</strong> EHR • In Paper Chart • In InSyst • Now documentation is uniform—no longer chart differently for specific insurance/payor (e.g.. Medi‐Cal vs. Medicare). • E/M Codes are specific to Medical Providers: • Psychiatrists (MD, DO) • Advance Practice Nurses (APN: NP and CNS) • Physician Assistants (PA)
AGENDA • Why we are doing this training HANDOUTS • CPT Power Point Presentation • CPT FAQ • CPT Code Sheets: Crosswalks & Master • Guidelines for Scope of Practice • Handout for CG users • Interactive Complexity Info Sheet • E/M Services Guide: Coding by Key Component • E/M Client Examples: Office, Established client
Page 1: ACBHCS QA 4.2013
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 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 53 and 54:
Path 1: Choosing the E/M Code Based
Page 55 and 56:
Page 57:
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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