correct Answers
What is the maximum group rehabilitation units for adults per day you can bill? -
Answers-24
.What is the maximum group rehabilitation units for children you can bill? - Answers-16
.BEHAVIORAL HEALTH SERVICES CONSIST OF: - Answers-(1) Mental Health
Assessment/Evaluation Testing
(2) Alcohol and/or Substance Abuse Services Assessment and Treatment Plan
Development
(3)Crisis Intervention Services
(4) Medication Training and Support
(5) Individual/interactive Psychotherapy
(6) Group Psychotherapy
(7) Family Psychotherapy
.Who are Licensed Behavioral Health Providers (LBHP's)? - Answers-(A) Psychologist
(B) Social Worker (clinical specialty only)
(C) Professional Counselor
(D) Marriage and Family Therapist
(E) Behavioral Practitioner
(F) Alcohol and Drug Counselor.
(G) A.P.N. - certification in psych. mental health
(H) P.A. with specialized mental health training Practitioners who have completed
education requirements to begin an internship or a postdoctoral fellowship in an
accredited clinical academic training program
(I) L.B.H.P. candidates*
.__________ and ___________ must be signed by the practitioner providing the
service. - Answers-Assessments
progress notes
.Service plans must be signed by the member if over age ______, by the parent or
guardian if under _____, and by the primary LBHP. - Answers-14
18
.Billing should be done under this revenue code, not procedure codes: - Answers-
Behavioral Health Revenue Code : 513
OHCA Provider Letter 2006-08
.American Society of Addiction Medicine (ASAM) - Answers-ASAM placement tool
determines if the individual is appropriate for residential level of care services and what
,specific ASAM level of care of is most aligned with the individual's needs: ASAM 3.1
(Halfway House), ASAM 3.3 (Co-Occurring Residential), ASAM 3.5
(Residential/Intensive Residential), or ASAM 3.7 (Medically Supervised Withdrawal
Management).
.What are the 6 Principals of Case Management? - Answers-People have the capacity
to learn, change and grow
Focus on strengths rather than deficits
The client is seen as the director in the helping relationship
The helping relationship is primary and essential
The preferred setting for our work is the natural environment in the community
The community is a resource
.Case Management serves persons with mental illness using a strengths based
approach. The aim involves a collaborative effort with the case manager and the
consumer that includes: - Answers-Assessing
Linking
Referring
Advocating
Monitoring
.To help a client reach their goals what do you need to do? - Answers-1. Change
outreach techniques
2. Incorporate relapse prevention
3. deescalate
4. modify and motivate
.To Deescalate a Crisis environment what do you do? - Answers-1. Modify the
environment
2. help sustain process
3. encourage, educate, role model
4. educate on mental illness and addiction
5. teach to identify body signs when something is wrong
6. recognize thought patterns when in need to get high
.What does MMIS mean? - Answers-Medical Management Information System
.________ verifies clients eligibility for Soonercare against the MMIS. - Answers-PICIS
.Where do you submit the PA adjustment with supporting documents? - Answers-PICIS
.Medical Needs Criteria only applies if currently ___________. - Answers-Homeless or if
they have been inpatient in the last 5 years.
.Who does this apply to: customer follow-up, engagements, or rehab services are billed
on a separate code that will not count against their units? - Answers-Case Management
, .CM II's are eligible to provide ____________. - Answers-Behavioral Rehabilitation
Services and Case Management
.Who qualifies for Behavioral Rehabilitation? - Answers-1. Adults with Serious Mental
Illness
2. Children with SED
3. Children with Emotional and Behavioral Disorders
4. Children with 504's or IEP considered "At Risk"
.BHR services focuses on beginning, maintaining, and/or enhancing? - Answers-
Recovery from Alcoholism, drug abuse, drug dependency
.What other services are billed as rehabilitation? - Answers-1. face-to-face services to
improve individual's ability to function
2. services performed to:
improve skills and abilities of individuals to live independently improve self-care, social
skills, promote life-style change
3. recovery practices
.What is NAMI? - Answers-National Alliace for Mental Illness
.What are the statics on Mental Health? - Answers-1/5 Adults have mental illness
1/25 Serious Mental Illness
1/2 Chronic Mental Illness beginning at age 14 and 3/4 beginning by age 24.
.What stigma do individuals with SMI suffer from? - Answers-Stereotyped
Categorized
Judged on how they look
not seen as individuals / looked at like characters in a movie
.As a CM II what are four things you can do: - Answers-1. Counter Stigma
2. Give information to communities- why they should employ people with SMI
3. look at the individual's abilities
4. provided information on: medication
.Schizophrenia (negative symptoms) - Answers-Disturbance of affect: expression of
emotion
Blunting: severe reduction in the intensity of affect expression
Flat affect: no signs of emotional expression
Inappropriate affect: (ex. schizophrenic starts laughing when talking about someone's
death)