Practice Management Insight

November 2010

A report on events affecting Oklahoma providers

ThinkHealth Advertises

with Open Minds

October 19-November 15

Justice and Mental Heath Collaboration Training

Tulsa

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November 1-5

RSS Training

Oklahoma City

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November 2

Current Drug Trends

McAlester, OK

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November 2

Election  Day

November 2

Ethical Dilemmas and Cultural Competence Seminar

November 2-3

Case Management Training

November 2-3

2M2L Law Enforcement Community Training

Tulsa

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November 3

ASAM Training with

Jim Griffin, LADC

Tulsa

November 4

Intensive Case Management

Training

Oklahoma City

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November 5

Safe and Drug-Free School Conference

Oklahoma City

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November 6

NAMI OK Meeting

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November 8

Oklahoma HIV Planning Council Meeting

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November 8 –14

National Drug Facts Week

National Institute of Drug Abuse

November 9-10

2M2L Law Enforcement Community Training

Tulsa

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November 10

Drug Utilization Review Board Meeting

November  11

Veterans Day

November 12

Organ Donor Education & Awareness Council Meeting

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November 12

Current Drug Trends with

Dub Turner

Norman, OK

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October 15-16

SOAR Training

Oklahoma City

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November 16

Bonding & Boundaries Case Management Training

McAlester

More Information and Register

November 16

Governor’s Task Force On Prevention Of UD Meeting

November 17

Medical Advisory Meeting

November 17

Oklahoma Prevention Leadership Collaborative Meeting

November 18

OHCA Board Meeting

November 18-19

SOC Wraparound 101

Tulsa

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Register Online

November  22-23

Case Management Training

Oklahoma City

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November 25

Thanksgiving Day

November 30– December 1

ASI with Jim Griffin, LADC

Oklahoma City

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From APS SoonerPro

Continued Delay in Processing Outpatient Requests
Due to the on going  increased volume of calls we continue to be delayed in processing outpatient requests requiring review.

The current turnaround is approximately ten to fifteen business days. We were recruiting for contract reviewers however we have found that the requests that do not automatically authorize are ones that require additional processing that the

If you would like for more of your requests to automatically authorize thus avoiding delays, please review the document, How to Improve Chances for Auto-Authorization.

Also be sure is you are requesting an extension that the start date does not overlap the previous authorization period. If you have a letter of termination or collaboration, please be sure to document that in the first line of the Interpretive Summary.

See article

OHCA: Prior Authorization for
Behavioral Health Services

“The OHCA would like to inform you of a change it process regarding reimbursement for outpatient behavioral health services provided to members in the Insure Oklahoma Individual Plan (IP).

“Pursuant to Insure Oklahoma rules, all outpatient behavioral health services rendered require prior authorization and have established monthly and annual limits (see OAC 317:45-11-10 and 45-11-12).

“In the past, certain provider including psychiatrists have been excluded from this requirement and claims were being reimbursed without a prior authorization on file. However, beginning 10/01/2010, in order to be reimbursed, all providers including psychiatrists must obtain prior authorization from APS Healthcare, Inc. For all outpatient behavioral health services (except initial assessments, crisis intervention, or medical management) provided to Insure Oklahoma IP members.”

See article

Nov 1-30 National Family Caregiver Month

“In 1994, NFCA launched the first ever celebration of family care giving declaring National Family Caregivers Week. Recognized by President Clinton when he signed the first proclamation in 1997,Nfc Month has been proclaimed by an American President annually every since  Many states, and dozens of local municipalities have proclaimed November , NFC Month.

“Day in and day out, more than 65 million family caregivers in this country fulfill vital role on the care team. No one else is in a better position to ensure continuity of care. Family caregivers are

In a recent effort to bring Oklahoma’s leading practice management system for behavioral health centers further into the limelight, OrionNet Systems has launched a national advertising campaign with Open Minds.

OrionNet Systems will be a “virtual exhibitor”  at the 2010 Open Minds Institute for Behavioral Health Informatics Conference, to be held in Baltimore, Maryland. The  IBHI conference is the 6th annual conference on the Future of Technology in Behavioral Health. While OrionNet Systems will not be at the conference physically, its presence will be felt through several ads surrounding the conference and in upcoming Open Minds newsletters.

To visit the Open Minds IBHI Conference website, click the banner below. To see OrionNet’s ThinkHealth ad, visit the online “virtual exhibit hall.”

Click on the OrionNet logo in the Virtual Exhibit Hall to see the ad on ThinkHealth

the most familiar with care recipients’
medicine regimen; they are the most knowledgeable about the treatment regimen; and they understand best the dietary and exercise regimen. ...”

See full article

November is …

National Family

Caregiver  Month