Unit Four: Systems Oriented Practice

Chapter 18: Billing and coding

Unit Four: Class Three

Learning Objectives

4.3.1. Define who qualifies under the Access to Care Standards and coverage limitations (PRISM score, GAIN score, GAF level, ICD-10s covered, other).
4.3.2. Explain how to assign the appropriate level of CPT code with the service provided.
4.3.3. Describe how to utilize WA State fee schedules to assign CPT codes to services provided.
4.3.4. Explain how the prior authorization process works and which services may require this process before providing care or referrals.

Reading Assignments

Online Articles:


Icon for the Creative Commons Attribution 4.0 International License

Integrating Behavioral Health & Primary Care by Whatcom Community College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

Share This Book