Transcription
  • I am a..... Certified Medical Assistant. LPC. LPN. Other. LMSW. Pharmacist.
  • What insurance does the patient have? Blue Cross Blue Shield Commercial, Blue Cross Blue Shield Medicare Advantage, Humana Commercial, or Humana Medicare Advantage. Any other insurance. Priority Health (all plans).
  • Do not bill.
  • Do not bill.
  • What task did you perform? Individual face to face visit. Anything else. Care coordination with other providers, resources, or entities. Phone call (s) to patient and/or caregiver.
  • Do not bill.
  • Do you have an LMSW in office? No. Yes.
  • Record your time in note and meet monthly with LMSW. If time equals 31 minutes or more, LMSW will bill 99487, complex care coordination. If time exceeds 60 total minutes, LMSW will bill 99487, plus 99489 for each additional 30 minutes. The LMSW's time and other staff time, as long as it is documented, may be added in to this cumulative time..
  • Do not bill.
  • Including documentation, how long did this take you? 106-135 minutes. 76-105 minutes. 46-75 minutes. 1-45 minutes.
  • Yes.
  • Bill G9002: Face-to-face visit, quantity 2.
  • Bill G9002 Face-to-face visit, quantity 3.
  • Bill G9002: face-to-face visit, quantity 4.
  • How long did this encounter take you? 76-105 minutes. 46-75 minutes. 1-45 minutes. 106-135 minutes.
  • Bill G9002, quantity 1.
  • Bill G9002, quantity 2.
  • Bill G9002, quantity 3.
  • Bill G9002, quantity 4.
  • What insurance does the patient have? Blue Cross Blue Shield Commerical, Blue Cross Blue Shield Medicare Advantage, Humana Commercial, or Humana Medicare Advantage. Priority Health.
  • What type of task did you perform? Full Initial Assessment. Advanced Care Planning. Telephone call (s) to patient and/or caregiver. Care coordination with other providers, resources, or entities. Individual Face-to-Face Visit.
  • Add up cumulative time the LMSW spent coordinator care externally only. If accumulating 31-60 minutes, bill 99487. Anything over 60 minutes, bill 99487 and then bill 99489 for each additional 30 minutes in calendar month..
  • Have you had at least one, documented, face-to-face interaction with the patient? No, not yet. Yes.
  • Bill G9001: Comprehensive Assessment AND G9008, Initial Engagement Physician Fee.
  • Continue to care for patient, make interventions and follow up. Look up any upcoming appointments, if any, make reminders to yourself to make contact with patient face-to-face when possible. Once this occurs, document face to face contact and bill G9001 and G9008 together. You may bill for telephone calls and coordination in the meantime..
  • Including documentation, how long did this take you? 5-10 Minutes:. 21-30 Minutes:. 11-20 Minutes:.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98968: 21-30 minute telephone services.
  • Was this discussion face-to-face or telephonic? Face-to-Face. Telephonic.
  • Bill 99497 for the first 30 minutes, bill 99498 for each additional 30 minutes..
  • Yes.
  • Including documentation, how long did this take you? 46-75 Minutes. 1-45 Minutes. 106-135 Minutes. 76-105 Minutes.
  • Bill G9002: Face-to-Face visit, quantity 1.
  • Bill G9002: Face-to-Face visit, quantity 2.
  • Bill G9002: Face-to-Face visit, quantity 3.
  • Bill G9002: Face-to-Face visit, quantity.
  • What type of task did you perform? Care Coordination with other provider or entities. Full Initial Assessment. Individual face to face visit. Telephone call (s) to patient/caregiver. Advanced Care Planning.
  • Bill G9002: Face to Face visit, quantity 1.
  • Add up cumulative time with Care Coordinator and any other staff members. If accumulating 31-60 minutes, bill 99487. Anything over 60 minutes, bill 99487 and then bill 99489 for each additional 30 minutes in calendar month..
  • Have you had at least one, documented, face-to-face interactive with the patient? Yes. No, not yet.
  • Bill G9001: Comprehensive Assessment AND G9008: Initial Engagement Physician Fee.
  • Continue to care for patient, make interventions and follow up. Look up any upcoming appointments, if any, make reminders to yourself to make contact with patient face-to-face when possible. Once this occurs, document face to face contact and bill G9001 and G9008. You may bill for telephone calls and coordination in the meantime. .
  • Including documentation, how long did this take you? 11-20 Minutes. 5-10 Minutes. 21-30 Minutes.
  • Bill 98966: 5-10 minute telephone services.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98968: 21-30 minute telephone services.
  • Was this discussion face-to-face or telephonic? Telephonic. face-to-face.
  • Bill 99497 for the first 30 minutes, bill 99498 for each additional 30 minutes..
  • Bill S0527: Counseling and discussion regarding advanced directives or end of life planning.
  • What insurance does the patient have? Anything Else. Blue Cross Blue Shield Commerical or Blue Cross Blue Shield Medicare Advantage.
  • Do not bill.
  • What type of task did you perform? Care coordination with other providers, resources, or entities.. Telephone call (s) to patient and/or caregiver. Something else.
  • Document your time. Monthly, add up cumulative time spent with LMSW and other care team members. If time totals 31-60 minutes as a team, the LMSW will bill 99487. If time spent exceeds 60 minutes, the LMSW may bill the 99487 and 99489 for each additional 30 minutes in a calendar month..
  • Do not bill.
  • Did this take you more than 5 minutes including documentation? No. Yes.
  • Bill 98966: 5-10 minute telephone assessment.
  • Do not bill.
  • What insurance does the patient have? Blue Cross Blue Shield Commercial, Blue Cross Blue Shield Medicare Advantage, Humana Commercial, Humana Medicare Advantage, or Priority Health. Something else.
  • Do not bill.
  • What type of task did you perform? Care coordination with other providers, resources, or entities.. Yes.
  • Document your time. Monthly, add up cumulative time spent with LMSW and other care team members. If time totals 31-60 minutes as a team, the LMSW will bill 99487. If time spent exceeds 60 minutes, the LMSW may bill the 99487 and 99489 for each additional 30 minutes in a calendar month..
  • Do not bill.
  • Bill G9002 with AHPBH Modifier attached.
  • Which Insurance does the patient have? Blue Cross Blue Shield or Humana: Includes both commercial and Medicare Advantage plans. Anything Else.
  • Bill normal BH codes (99492,99493,99494,99484) as appropriate.
  • What type of patient encounter was this? Telephonic conversation of a consultative nature (assessment, brief plan, etc.). Telephonic visit (therapy via telephone). In-office appointment. Telephonic conversation of general nature (outreach and introductions only).
  • Do not bill.
  • Is the patient also enrolled in Alliance Plus ' Care Management Program? No. Yes.
  • Do not bill.
  • Bill G9002 with AHPBH Modifier attached.
  • Is this the first time you have seen this patient? No. Yes.
  • Bill G9002 AND G9008 with AHPBH modifier.
  • Bill G9002 with AHPBH Modifier attached.
  • How long did this encounter take? More than 21 minutes. 11-20 minutes. 5-10 minutes.
  • Bill 98966: 5-10 minute telephone services.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98966: 5-10 minute telephone services.
  • How long did this encounter take? More than 21 Minutes. 11-20 Minutes. 5-10 minutes.
  • Bill 98966: 5-10 minute telephone services.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98966: 21-30 minute telephone services.
  • Which insurance does the patient have? Blue Cross Blue Shield or Humana: Includes both commercial and Medicare Advantage Plans. Anything Else. Priority Health: Includes both commercial and Medicare Advantage Plans.
  • Bill 99211 or 99999 as instructed/appropriate.
  • What type of encounter was this? Telephonic Medication Review. Face-to-Face Self-Management Education. Face-to-Face Medication Review.
  • Coming Soon!.
  • Is this patient enrolled in either Alliance Plus ' Behavioral Health or Care Management Program? No. Yes.
  • How long did this encounter take you? 76-105 minutes. 46-75 minutes. 106-135 minutes. 1-45 minutes.
  • Bill G9002, quantity 1.
  • Bill G9002, quantity 2.
  • Bill G9002, quantity 3.
  • Bill G9002, quantity 4.
  • How long did this encounter take you? 1-45 minutes. 76-105 minutes. 106-135 minutes. 46-75 minutes.
  • Was this your first billable face-to-face encounter with this patient? No. Yes.
  • Bill G9002, quantity 2 AND G9008.
  • Bill G9002, quantity 2.
  • Was this your first billable face-to-face encounter with this patient? Yes. No.
  • Bill G9002, quantity 3 AND G9008.
  • Bill G9002, quantity 3.
  • Was this your first billable face-to-face encounter with this patient? No. Yes.
  • Bill G9002, quantity 4 AND G9008.
  • Bill G9002, quantity 4.
  • How long did this encounter take you? More than 21 minutes. 11-20 Minutes. 5-10 Minutes.
  • Bill 98966: 5-10 minute telephone services.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98968: 21-30 minute telephone services.
  • What type of encounter was this? Telephonic Medication Review. Face-to-Face Medication Review. Face-to-Face Self-Management Education.
  • Coming Soon!.
  • Is this patient also enrolled in Alliance Plus ' Care Management Program? No. Yes.
  • Bill G9002.
  • Is this your first face-to-face encounter with this patient (billed)? Yes. No.
  • Bill G9002.
  • Bill G9002 AND G9008.
  • How long did this encounter take you? 11-20 minutes. 5-10 minutes. More than 21 minutes.
  • Bill 98966: 5-10 minute telephone services.
  • Bill 98967: 11-20 minute telephone services.
  • Bill 98968: 21-30 minute telephone services.

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