TRAINING GUIDE TO ENTERING G CODES IN CASAMBA

Transcription

1 TRAINING GUIDE TO ENTERING G CODES IN CASAMBA A G code (also known as functional limitation) needs to be entered for every evaluation, progress note, updated plan of care, and discharge summary. G codes need to be entered for each payor source. As a company, we have decided to complete g codes for all payor sources in order to be proactive for billing changes that occur retrospectively and are out of our control, even with the verification processes we have put into place. Unfortunately, this seems to be occurring more lately. There are two places to enter a g code in Casamba. One is on the documentation/poc tab in the actual document (POC, UPOC, PN or DC) that is completed, located within those documents there is a functional limitation box to click on. The second place is under the input daily tab where you enter your billing and daily treatment notes for each resident. Based off of how our Casamba is configured, the input daily tab is the best place to enter your g codes and not on the documentation/poc tab. The reason to input the g code on the input daily tab is because Casamba will automatically place the g code on the last treatment day if you enter the g code on the documentation/poc tab before putting in daily input. Then, you will have an alert for the g code because it is incorrect and on the wrong day. If you enter the functional limitation after you have completed your input daily tab (or after you have partially or fully completed your billing), the g code will remain on the day you completed the evaluation, progress note, etc.

2 After you click on the functional limitation box, a pop up screen will appear. You will need to select the date you want to enter your g code and select which g code you wish to use. Then you will enter the current level and goal level for that resident. Then you must click on set note in bold blue text.

3 A new screen will pop up. You must enter a note and click set.

4 After you click set, it will take you back to the original box and you must click save. A box will pop up asking if this g code has been completed on a day that treatment was provided to this resident. You should click yes. REMEMBER, G CODES CAN ONLY BE ENTERED ON A DAY THAT A TREATMENT HAS BEEN PROVIDED. IF A TREATMENT HAS NOT BEEN PROVIDED, for example on an unbillable discharge summary, THE G CODE MUST BE ENTERED FOR THE LAST TREATMENT DAY and not on the date the discharge summary was completed.

5 One way to determine if you have your g codes completed accurately or if you are trying to clear an alert that the g codes are not correct is to go to the documentation/poc tab and check which days notes were completed. If you look at OT, you will see that g codes must be entered for the POC on 2/1/2016, and the POC and Discharge summary on 9/24/14 and 11/22/2014. It is best to check the input daily for those specific dates to make sure treatments were actually completed on these dates the documents were completed. If treatments were not completed, then you will have to enter the g code on the last treatment day prior to the note being completed. To investigate further an alert for a g code, go to the input daily tab and click on the functional limitation box. Click on View History to see what g codes are entered and for what days.

6 As you can see, g codes are entered for each document listed on the documentation/poc tab. And for 11/22/2014, a goal and DC g code is entered. If you mistakenly enter your g code before putting your daily input in, you will have to correct the date. You can go to the input daily tab. Put in your charges. Then click on the functional limitation box on the bottom right.

7 The functional limitation box will pop open. Click on View History and click on the date to make it the correct date the document was completed. Again, your daily treatment note must be entered or Casamba will default the date to the last treatment date. If you are discharging a resident and completing their discharge g code, you must click on yes under Do you want to DC the functional limitation?

8 Another question will then pop up asking if the patient is to remain on part B services. You can select your answer and click save.

9 Important information! If there is an unexpected discharge, a g code must be entered. The g code must be entered on the day the last treatment was performed. If you are completing a note late, keep the date of the note the same as it is in Casamba and enter the g code for that date, too.