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Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered...

HCPCS code

Name of the Procedure:

  • Common Name: FQHC Mental Health Visit for New Patients
  • Medical Term: Federally Qualified Health Center (FQHC) Visit, Mental Health, New Patient

Summary

A Federally Qualified Health Center (FQHC) visit for mental health involves a face-to-face, medically-necessary encounter between a new patient and a qualified mental health practitioner. During this visit, one or more mental health services are provided to address the patient's needs.

Purpose

  • Medical Conditions Addressed: Anxiety, depression, bipolar disorder, schizophrenia, PTSD, and other mental health conditions.
  • Goals: To assess, diagnose, and begin treatment for mental health issues. Establish a treatment plan and provide immediate support or intervention.

Indications

  • Symptoms: Persistent sadness, anxiety, mood swings, hallucinations, difficulty coping with daily life.
  • Patient Criteria: New patients seeking mental health services at an FQHC. Those who meet criteria for mental health assessment and treatment as determined by initial screening.

Preparation

  • Pre-Procedure Instructions:
    • Bring a list of current medications.
    • Complete any pre-visit forms or assessments.
    • No specific fasting or medication adjustments unless otherwise instructed.
  • Diagnostic Tests or Assessments: Initial mental health screening and possibly completing a patient history form.

Procedure Description

  • Steps:
    1. Patient checks in and completes necessary paperwork.
    2. The practitioner conducts a thorough mental health assessment, including patient history and current symptoms.
    3. Diagnostic evaluations or screenings may be performed.
    4. A treatment plan is developed and discussed with the patient.
    5. Immediate support or intervention, if necessary, is provided.
  • Tools/Equipment: Questionnaires, standardized mental health assessment tools.
  • Anesthesia/Sedation: Not applicable.

Duration

  • Typically ranges from 45 to 90 minutes.

Setting

  • Performed in an outpatient clinic setting within a Federally Qualified Health Center (FQHC).

Personnel

  • Involved Professionals: Licensed mental health practitioners such as psychiatrists, psychologists, licensed clinical social workers, or nurse practitioners specialized in mental health.

Risks and Complications

  • Common Risks: Emotional distress, discomfort from discussing sensitive issues.
  • Rare Risks: Inaccurate diagnosis or miscommunication of treatment plan; managed via follow-up appointments and continuous care.

Benefits

  • Expected Benefits: Accurate diagnosis of mental health conditions, beginning of an effective treatment plan, and immediate mental health support.
  • Realization Time: Some benefits, such as improved understanding of one's mental health, are immediate; others, like symptom relief, may take several weeks to months depending on the treatment plan.

Recovery

  • Post-Procedure Care: Follow-up appointments scheduled as needed. Patients may receive prescriptions or referrals for further services.
  • Recovery Time: No physical recovery needed; mental health support continues through ongoing treatment.
  • Restrictions/Follow-Up: Importance of attending follow-up visits and adhering to the treatment plan.

Alternatives

  • Other Treatment Options: Private mental health care providers, telehealth services, community mental health centers.
  • Pros and Cons:
    • Pros of Alternatives: May offer different specialties or more personalized care.
    • Cons of Alternatives: May not be as accessible or affordable as services provided through an FQHC.

Patient Experience

  • During the Procedure: Patients will talk about personal and sensitive information; the practitioner will offer a supportive environment.
  • After the Procedure: Patients may feel relieved, stressed, or a mix of emotions. Immediate support is available. Pain management is generally not needed, but emotional support and follow-up care are crucial.

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