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How to Complete the Mobile Crisis Service Note

Document the Mobile Crisis Encounter by creating a new service note.

  1. With the client open, click the Search icon.
  2. Type “New Service Note” in the search bar.
  3. Select “New Service Note” from the search results.
  1. This brings you to the service note screen. Complete the information in the Service tab.
    1. Select the Mobile Crisis program in the Program field.
    2. Select “Mobile Crisis Encounter” in the Procedure field. This will create the Note tab.
    1. Enter the location.
      • Select “Mobile Unit” if both Mobile Crisis Team members were present on the scene.
      • Select “Mobile Unit with Telehealth” if one of the Mobile Crisis Team members provided services only through telehealth and was not on the scene.
    2. Enter the Mode of Delivery if desired.
    3. Enter the date you were dispatched in the Start Date field.
    4. Enter the time you were dispatched in the Start Time field.
    5. Enter your total travel time in minutes. This includes travel to and from the scene. If you transported the client, or traveled with the client while they were being transported, do NOT include that time here; that will be included when you document your transportation time.
    6. Enter your total time spent on documentation, in minutes, in the Documentation Time field. You may also want to come back to this field after completing the note and before you sign.
    7. Enter the total time you spent on the scene, in minutes, in the Service Time field.
    8. Enter any additional information, such as if an interpreter was used, if the service was provided in a language other than English, and if any CSI Evidence-Based Practices were used.
  1. Click on the Note tab and complete the Mobile Crisis Encounter Note. This document is dynamic, meaning some questions will only be required when other questions are answered a certain way. This may also mean that some questions won’t even show up until other questions are answered.
    1. Select the name of the 2nd member of the Mobile Crisis Team in the “Provider 2” field.
    2. Document whether the 2nd member of the Mobile Crisis Team provided support “on-site” or via “telehealth” in the “Provider 2 Location” field.
    3. If you consulted with a supervisor, select the supervisor’s name in the “Supervisor/LPHA Consulted” field. This field is not required.
    4. Document the time you arrived at the scene of the crisis.
    1. Per county request, we included documentation of involuntary holds before and after the encounter, to help counties track when holds are initiated and/or rescinded.
    1. Enter the disposition of the encounter. This is result of the encounter. Add any details as necessary.
    1. In reference to step e above, document whether the client was on an involuntary hold after the encounter concluded.
    2. Document whether any Mobile Crisis Team members transported the client, or traveled with the client as they were being transferred, to a treatment setting.
      • If you answer Yes to this question, you’ll be asked to enter the number of miles driven, if you transported the client yourself. If you traveled with the client as they were being transported, enter “0”.
      • You’ll also need to enter the number of minutes spent transporting or traveling with the client in minutes. Enter the number of minutes each provider spent on transportation/accompaniment.
      • Document the type of transportation used.
  1. Click on the Billing Diagnosis tab.
    1. Click on the ICD-10 button.
    1. This will bring up the Diagnosis ICD Ten PopUp window.
    2. Search using the code and/or description and by clicking “Search”.
    3. Select the code you want to use by clicking on the radio button next to it.
    4. Scroll down and click OK.
    1. This takes you back to the Billing Diagnosis tab. Select “1” in the dropdown next to the ICD-10 code you just added.
  1. Click “Sign” to complete the service note.
  1. This will bring up the PDF. If desired, you can add the 2nd provider and/or the supervising LPHA as a co-signer, but this is not required. Click the Close icon to exit this screen.
    1. To add the 2nd provider as a co-signer, click the Plus icon to expand the document ribbon.
    1. Select the staff member in the “Add Signer(s)” field.
    1. This will add the staff member as a co-signer and it will show up in their Documents widget under “To Cosign”. Repeat steps a-b to add other co-signers as necessary.

How to Claim for Transportation Miles Driven

  1. With the client open, click the Search icon.
  2. Type “New Service Note” in the search bar.
  3. Select “New Service Note” from the search results.
  1. This brings you to the service note screen. Complete the information in the Service tab. No note is required for this procedure code.
    1. Select the Mobile Crisis program in the Program field.
    2. Select “Transportation Mileage” in the Procedure field.
    3. Enter the location. You can use “Mobile Unit.”
    4. Enter the Start Date and Start Time fields based on when the transportation started.
    5. Enter the number of miles in the Service Time field.

How to Claim for Transportation Time (or time spent accompanying a client while they're being transported)

  1. With the client open, click the Search icon.
  2. Type “New Service Note” in the search bar.
  3. Select “New Service Note” from the search results.
  1. This brings you to the service note screen. Complete the information in the Service tab. No note is required for this procedure code.
    1. Select the Mobile Crisis program in the Program field.
    2. Select “Transportation, Staff Time” in the Procedure field.
    3. Enter the location. You can use “Mobile Unit.”
    4. Enter the Start Date and Start Time fields based on when the transportation started.
    5. Enter the number of minutes you spent transporting or accompanying the client while they were transported in the Service Time field.

Updated 12/21/23