Initial Combined Assessment (ICA) - Department of Public Health

More documents

Recommendations

Info

CPSP TRAINING2S M A R T GOALSS pecificM easurableA chievable/AgreedR ealistic/RelevantT ime-limitedSmart goals.mwDecember 23, 2009cm
CPSP BILLING INFORMATION 3BONUSESEARLY ENTRY INTO CARE (Z1032-ZL) - If the patient receives her initial pregnancyrelatedexam within 16 weeks LMP (anytime prior to 17 weeks), add modifier -ZL to theInitial Pregnancy-Related exam code Z1032 and add $56.63 to your “usual and customaryfees” for this service. Maximum allowance for Z1032-ZL is $182.94 ($126.31 + $56.63).Billing ZL Modifier when done by Non-Physician Medical Practitioner (multiple Modifier):CNM bills YR: ZL + SBNP bills YT: ZL + SAPA bills YU: ZL + AN10 TH ANTEPARTUM VISIT (Z1036) - may be billed one time only when the 10 thantepartum visit is provided. Medi-Cal reimburses non-CPSP providers for the initialprenatal visit and 8 antepartum visits (9 visits total). CPSP providers are able to bill forone additional visit. Reimbursement is $113.26.CPSP SUPPORT SERVICESSupport services (health education, nutrition, and psychosocial) are billed in 15 minuteunits. A minimum of 8 minutes of service must be provided in order to bill.UNITS TIME (Minutes) RANGE (Minutes)1 15 8-222 30 23-373 45 38-524 60 53-67Formula for determining time range is as follows:Range = Time + 7 minutesLAC/CPSPRev. December 14, 2009CPSP Billing.docExample:3 units = 45 minutes (3 x 15 min.)45 minus 7 = 38 minutes45 plus 7 = 52 minutesRange for 3 units = 38-52 minutes
Page 1: 1COUNTY OF LOS ANGELES PUBLIC HEALT
Page 6 and 7: 6ProcedureCodeDescription When to U
Page 8 and 9: 8ProcedureCodeDescription When to U
Page 10 and 11: MEDI-CAL AND CPSP RESOURCE LIST 10M
Page 12: 12CPSP PROBLEM LISTPatient Name: __
Page 18 and 19: COMPREHENSIVE PERINATAL SERVICES PR
Page 20 and 21: Transportation 2024. Will you have
Page 22 and 23: 47. Have you experienced any of the
Page 24 and 25: Nutrition - A copy of this page sho
Page 26 and 27: 92. Are you on any special diet? 14
Page 28 and 29: COMPREHENSIVE PERINATAL SERVICES PR
Page 30 and 31: PROCEDURE FOR INDIVIDUALIZED CARE P
Page 32 and 33: Individualized Care Plan (ICP)Purpo
Page 34 and 35: Patient: Patty Preggers Gravida: 1
Page 36 and 37: Sample Strengths List(Strengths mus
Page 38 and 39: Psychosocial38Eating disordersExces

Initial Combined Assessment (ICA) - Department of Public Health

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?