VT at SCO Charting and Documentation

Question 1

T/F patients coming for a VT eval should have had a comprehensive exam within the past year

Answer 1

true, often referred from APC, CL, or Peds/Teen

Question 2

What are rare forms or referral?

Answer 2

outside doc, self-referral

Question 3

What times are evaluations?

Answer 3

8:30, 10, 1, 2, 3

Question 4

How long should a VT evaluation take?

Answer 4

1-1.5 hours (unless VIP testing/TBI)

Question 5

What is the template in compulink?

Answer 5

VT exam NOT VT consult

Question 6

What do you need to make sure you do in compulink?

Answer 6

select the doctor on the start tab

Question 7

What should be completed in all VT evals?

Answer 7

VT history tab, CC tab, COVD-QOL, meds/allergies, mood/orientation

Question 8

What do you need to update every week?

Answer 8

diagnosis and codes

Question 9

What goes into “results this session”?

Answer 9

details about each activity, raw score, qualitative observations

Question 10

What goes into “details/goals next session”?

Answer 10

plan for next session and NEW goals

Question 11

What goes into “home therapy assigned”?

Answer 11

homework

Question 12

What goes into “summary of this visit”?

Answer 12

summary, if patient was late, etc

Question 13

What goes into “procedures this session and session information”?

Answer 13

update session number each week, record your name and assign the staff doctor

Question 14

What goes into “VT progression notes”?

Answer 14

acuity check, extra tests, etc

Question 15

Does VT bill medical or vision plans?

Answer 15

medical

Question 16

What are the medical codes for a VT evaluation/progress evaluation?

Answer 16

99203, 99213/99214(TBI)

Question 17

What is the VT session medical code?

Answer 17

92065

Question 18

What happens if patient is not billing medical for VT sessions?

Answer 18

often out of pocket, TEC $53 or Funds for Needy Schoolchildren $15

Question 19

How long/often are VT sessions?

Answer 19

45 minutes per session (in a 1 hr slot), once a week

Question 20

What is SCOs no show policy?

Answer 20

3x in a row the patient will be dismissed

Question 21

What communication is key?

Answer 21

nature and extend of disorder, nature of proposed treatment, financial aspects of course of therapy, appropriate level in writing to other professionals

Question 22

Who should do VT programming?

Answer 22

you, the doctor

Question 23

Who should do therapy sessions?

Answer 23

trained/certified therapists (COVT) or doctor; can often have two patients at the same time

Question 24

Is home or in-office therapy best?

Answer 24

in-office; some docs give homework and some don’t like home activities

Question 25

Are schedules and fees consistent?

Answer 25

no, vary by doctor/practice dependent