Tips & Tricks-TherapyNotes

Locations

Locations are a crucial element to billing. This can determine coverage, copay amounts, and correct initial submission.

Blue Care Network always requires it's own unique location - this codes the session for billing.

In the Office Session Coding
- Counselors - {BCN} OFFICE - Counselor POS 11
- Social Workers - {BCN} OFFICE - Social Worker POS 11
Telehealth Coding for Clients not in their home (maybe office or parked car)
- Counselors - {BCN} NOT HOME -Tele Counselor POS 02
- Social Workers - {BCN} NOT HOME - Tele Social Worker POS 02
Telehealth Coding for Clients at their home
- Counselors - {BCN} HOME - Tele Counselor POS 10
- Social Workers - {BCN} HOME - Tele Social Worker POS 10

Blue Cross Blue Shield, OPTUM, United Health Care require the telehealth location to be indicated based on whether the client is at home, or not at home.

In the Office Session Coding
- All - Main Office
Telehealth for clients not at home
- All - {BCBSM} NOT HOME - Telehealth {OPTUM & UHC} POS 02
Telehealth for clients at home
- All- {BCBSM} HOME - Telehealth {OPTUM & UHC} POS 10

All other Commercial & EAP Coverage -

In the Office Session Coding
- All - Main Office
Telehealth
- All - Telehealth ANYWHERE - Commercial (NOT MCLAREN)Insurances POS 10

Medicaids (not Blue Cross Complete)- Aetna, Meridian Health Plan, McLaren Health Plan (Commercial & Medicaid), Cigna (Commercial & other products)

In the Office Session Coding
- All - Main Office
Telehealth
- All - Telehealth ANYWHERE - Medicaids CIGNA & McLaren ONLY POS 02

Blue Cross Complete

In the Office Session Coding
- All - Main Office
Telehealth
- Telehealth - Blue Cross Complete POS 11

Medicare (Straight & Commercial (like BCBS, PHP, Aetna, etc))

In the Office Session Coding
- All - Main Office
Telehealth
- All - Telehealth Medicare Part B POS 11

Telehealth Documentation

Intake Additional Step
- You must look at the driver's license of the NEW client so they prove who they are. DOCUMENT THAT YOU DID IT.
Regular Sessions
- Confirm the client is in a confidential place with no other adults or where anyone can overhear. Ask them to show you the room if you suspect they are not alone. DOCUMENT THAT YOU DID IT.
- Confirm the address/location the client is at and note it. Home, work address, parking lot of work address, if it's not on file, put it on file or in the note. DOCUMENT THAT YOU DID IT.
- Have a plan for what to do if disconnected - will you move to the phone? Will you finish the session? DOCUMENT THAT YOU DID IT.
Clients with Safety Concerns, use your best judgment
- Create your own safety phrase if your client needs to tell you they are unsafe. Confirm what you will do if they say it. DOCUMENT THIS.

EVERY TELEHEALTH SESSION NOTE MUST INCLUDE - (Intakes too)
- "This therapist utilized a HIPAA compliant 2-way secure video system” - or-
- "This therapist utilized a HIPAA compliant 2-way secure audio system.”

If you do not do this and we are audited, insurance will take the money back.

Checking Client Balances

1. Go to your patient list in TherapyNotes by clicking on "Patients" in the top blue menu across the screen.

2. You will see three search fields, "Search" "Assigned to" and "Filter"

3. Go over to "Filter" and from the drop-down menu, select "Have Open Patient Balance"

TAADAA

Field Autofill on Notes

Anywhere you see the following - you can click it and see everything you've written in the past, or on the intake note, you can autofill what the patient wrote, in order to then ADD TO IT.