I wasn't eliminating a psychiatrist. If a psychiatrist provides psychological therapy then the minutes would be counted in P1be. I do not believe that visits for med adjustments or a psychiatric visit to check on the resident's mental health is "therapy" so would not count the minutes for such a visit in P1be. Psychiatrists visits count in P7 if they examine the resident and write a note. I only count actual "therapy" ,whether group or individual , in P1be. My psychiatric team does not consider visits for med adjustments as therapy, and I would have to agree. ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, January 16, 2004 12:49 PM Subject: Re: Section P1b--e
> In a message dated 1/16/2004 10:23:38 PM Eastern Standard Time, "carol maher" <[EMAIL PROTECTED]> writes: > > >P1be is coded when the resident is seen by a licensed mental health professional for psychological therapy. This area is NOT coded when a psychiatrist is seeing the resident as a consultant for med adjustment or evaluation, > > Please cite your source which eliminates a psychiatrist please! > > > > it is coded when psychological therapy is provided. The August update removed the requirement that psychological therapy groups had to be 4 or less residents per therapist. So, group therapy sessions can now be coded. I ask my licensed mental health providers to list the time in the resident's record that therapy was provided in their note. All of the residents present for group therapy would get the same amount of time listed. Also, we code for individual therapy , if it is provided. The psych staff makes it clear in their notes whether therapy was provided or if an evaluation and med change was done instead. They only write in the minutes when therapy is provided. After a few reminders it seems to be working well. > > ----- Original Message ----- > > From: [EMAIL PROTECTED] > > To: [EMAIL PROTECTED] > > Sent: Wednesday, January 14, 2004 4:36 PM > > Subject: Section P1b--e > > > > > > Hello All, > > Under special treatments and procedures, the (e part, Psychological therapy by any licensed mental health professional). Just exactly what does it cover and how must it be documented to count in this area. I don't recall ever seeing this area with anything listed. How can we utilize this? Thanks in advance for all help. You are a great group. > > > > Susan Gibbs, RN > > MDS Coordinator > > Presbyterian Homes of TN > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
