Provider – Encounter Documentation (Consult & Administration Appts.)

Provider – Encounter Documentation (Consult & Administration Appts.)

**If you want to refer a patient for Spravato use the order set “Referral Esketamine (Spravato)”. Once ordered the MA will properly coordinate a consultation**. 

 

Consult Encounter Documentation 

Consult scheduling: 

The following appointment types will be available for initial Spravato Consults: 

  • New Spravato Consult 60: New-to-Geode patients interested in Spravato. 

  • Est Spravato Consult 60: Existing Geode patients. (Typical) 

 

Consult Documentation: 

Consult Reason for Visit 

Select “Spravato Consult” under Reason for Visit: 

 

 

Ordering the authorization and benefits review 

  1. Place one of the following orders in the available “Order sets” – Note: This is not a medication order. This order is meant to verify patient benefits and get the proper authorizations in place prior to submitting the order to pharmacy. This will go directly to the Spravato Technician. Once that authorization is approved the MA will work with you on ordering the medication to the specialty pharmacy. 
  2. Spravato 56 mg (28 mg x 2) 
  3. Spravato 84 mg (28 mg x 3)


  •  
     

2.     Sign the order. 

*The authorization request will be sent automatically to the medical assistant. * 

4.     Document all other information as necessary in the encounter. 

Encounter plan includes documentation requirements for the following sections 

  1. History of present illness 
  1. Review of Systems 
  1. Assessment and Plan 
  1. Treatment plan – Active Goals 
  1.  

 

Provider- Administration Encounter Documentation: (POST CONSULT -INDUCTION APPT NOTE AND ESTABLISHED SPRAVATO NOTE) 

 

Administration Scheduling: 

There are two schedules utilized when setting up administration appointments. This includes scheduling the patient Spravato appointment on the Spravato Schedule and scheduling an appointment hold on the provider’s schedule. The hold freezes time for the provider to connect with the patient at the beginning on their treatment. 

 

Spravato Schedule: 

The following appointment types will be available to book on the Spravato schedule: 

  1. Spravato 120 Induction (Typically weeks 1-4) 
  1. Spravato 120 Initial Maint (Typically weeks 5-8) 
  1. Spravato 120 Ongoing Maint (Typically weeks 9 – onward) 

*The MA will change the rendering provider on check-in.* 

 

Provider Schedule: 

The following 30 minute or 1-hour freeze will be applied to the provider’s schedule (Freeze time is providers discretion and should be communicated to MAs): 

  1. Spravato 

  

Administration Documentation: 

  1. Click in “Go to Session” top right corner to begin 
  2. Reason for Visit: Select Spravato Administration as the reason for visit. 

 

 

 

  1. History of Present Illness: Select the text macro. spravatoadministration in the HPI section of the note to pull in the baseline documentation requirements  





 

  1. Procedure Documentation: Select the Procedure Template “Spravato Administration”. 

  1. This will ensure the proper CPT codes are available within the claim billing tab. 

  1. Note: if a patient is Medicare the G2212 code will not populate. Please remember to enter this manually. 

 

 selectedImg

 



  3. Assessment & Plan: Select the text macro .spravatotreatment in the Assessment and Plan section of the encounter to surface the baseline documentation requirement. 

  1.  Document all other information as necessary in the encounter – NOTE: The Spravato REMS will be uploaded to link to the encounter. There is no need to duplicate any information that is entered on the Spravato REMS.* 
  2. Click “Sign-Off” on the top middle-right to begin sign-off 
  3. Click the billing tab on the right-hand side: 
  1.  

    1.  Complete the billing tab: 

    • Add units and modifiers as necessary. 

    •  Ensure a diagnosis code is associated with the CPTs. 

    1. Click “Save & Mark Reviewed” at the top right to save the claim billing tab 

    1. Click “Close” at the top right to close the encounter 

    • Related Articles

    • Injectable Administration Documentation

      Documenting the administration of an injection Add the medication as an order in the Assessment and Plan. Select the "Administer" tab. Select "VIEW MORE" to populate the necessary fields. Document all required fields under "Details". The ...

    • Spravato Provider Workflow

      Provider – Consult Schedule · The following appointment types will be available for initial Spravato Consults: o New Spravato Consult 60: New-to-Geode patients interested in Spravato. o Est Spravato Consult 60: Existing Geode patients. Provider – ...

    • Supervising Provider athenaNet Workflow – Encounter Oversight

      Supervising Provider athenaNet Workflow – Encounter Oversight (Supervising Provider) As the Supervising Provider, you will complete Encounter Reviews Encounter Oversight: Encounter Reviews for Supervising Providers Encounter review documents appear ...

    • Internal Provider Referral Workflow

      Referral Workflow Internal Referral Please reference this workflow below to refer a patient to another Geode provider or service. Sending Referrals Access the patient’s chart and click on the . In the dropdown patient action bar select ‘Create Order ...

    • (Spravato MA Workflow - Pre Administration (Prior Authorization, ordering, and Scheduling)

      Spravato MA Workflow - Pre Administration Pre-requisites: Pre Auths: Autorization order must be submitted during the consultation appointment Insurnace information and card must be updated and current (within the year) Prior Authorization must be ...