Practice Management Insight

April 2010

A report on events affecting Oklahoma providers

April 2

Family Support

Provider (FSP) Training

Oklahoma City

More Information

April 5-11

National Public Health Week

www.nphw.org/nphw10/home1.htm

April 7

World Health Day

www.who.int/world-health-day/en/

April 7-8

Correct Administration

and Application of the Addiction Severity Index

(ASI) with Jim Giffin, LADC

Tulsa Tech Center,

Broken Arrow Campus

More Information

Register Online

April 8

OHCA Board Meeting

April 8

National Alcohol Screening Day

www.mentalhealthscreening.org/events/nasd/

April 8-9

Medicare/Medicare

Part D Training

Oklahoma City

More Information

April 13-14

Case Management Training

Tulsa Tech Center, Riverside Campus

More Information

April 14

Behavioral Health Advisory Council Meeting

April 14

Drug Utilization Review Board Meeting

April 16

ASAM with Steve Stewart

Tulsa Tech Center, Riverside Campus

More Information

Register Online

April 17

Saving Babies’ Brains All Seven Generations

Lecture Hall, Seretean Wellness Center at OSU, Stillwater

More Information

April 19-20

Fundmtls of Wraparound 101

Tulsa Tech Center, Riverside Campus

More Information

Register Online

April 22-23

SOAR Training

Oklahoma City

More Information

Register Online

April 22-23

Problem Gambling Counselor

Oklahoma City

More Information

Register Online

April 26-30

RSS Training

Oklahoma City

More Information

April 28-30

17th Children’s Behavioral Health Conference

Norman

More Information

Starting April 1, 2010, there will be co-pays for non-pregnant adults (ages 21 and older) as follows:

$3 co-pay for behavioral health office and/or home visits: a provider cannot deny services based on the member’s inability to pay the co-pay. The member will still owe the bill. The provider can keep trying to collect the payment. The $3 co-pay will be deducted per claim per member per provider. A claim is defined as all services bundled up in the 837p billing file on a client per day.

In ThinkHealth if you have a client and perform on Monday a Family service, and an Individual service then when you batch up your billing we create one claim for that day for that client. That claim holds BOTH services so the $3 co-pay would be charged only ONCE for that client.

Also, you cannot deduct the $3 before you submit to OHCA because they will deduct the amount automatically and you would loose $6. You will only know if the $3 co-pay was removed when you get the remittance back.

Co-pay is a much larger change than many people know both for ThinkHealth and also for you. It encompasses Remittance, Payroll, Invoicing, and how you void and handle your line items. Some centers see a large impact from this so we suggest every center carefully understand what needs to take place.

Why the $3 co-pay will increase complications for centers

New Rates from OHCA now in ThinkHealth

April is Alcohol

Awareness Month

“In 2007, more than one fifth (23.3 percent) of persons aged 12 or older participated in binge drinking at least once in the 30 days prior to taking SAMHSA’s National Survey on Drug Use and Health (NSDUH). This translates to about 57.8 million people. The rate in 2007 is similar to the rate in 2006 (23 percent).

“To recognize the serious problem of alcohol abuse, April is designated ‘Alcohol Awareness Month.’

“If you suspect that you might have a drinking problem, or you know someone who abuses alcohol, please contact SAMHSA’s Health Information Network at 1-877-SAMHSA-7.”

Read more

“OHCA budget actions:

“Like other state agencies, the OHCA’s general appropriations for state fiscal year 2010 were cut by 7.5 percent, or almost $44 million in state funds.

“In order to meet the balanced budget requirement, the OHCA board authorized agency staff to take the needed steps to reduce the budget. Once of these steps was an across-the-board provider rate reduction of 6.75 percent which was scheduled to go into effect April 1.

“However, on February 17, OHCA was notified that state leadership had reached a budget agreement. The OHCA’s budget was provided some relief through use of federal stimulus funds and state reserves. State leaders asked that the funds be used to roll back part of the overall provider rate cut. At their March 11 meeting, the board directed that the rate cut be scaled back by 3.5 percent. The remaining 3.25 percent provide rate cut is effective April 1.”                                                                      See Article

Budget Update from OHCA

Media Contact: Jo Kilgore, OHCA Public Information Manager

“The Oklahoma Health Care Authority and HP Enterprise Services will be hosting the spring 2010 SoonerCare Provider Training Workshops. We are offering many new classes that will benefit all providers and encourage everyone to attend.”

Click here to register

Spring 2010 Provider Training

World Health Day

With the campaign 1000 cities, 1000 lives, events will be organized worldwide during the week of 7-11 April 2010. The global goals of the campaign are:

· 1000 cities: to open up public spaces to health, whether it be activities in parks, town hall meetings, clean-up campaigns, or closing off portions of streets to motorized vehicles.

· 1000 lives: to collect 1000 stories of urban health champions who have taken action and had a significant impact on health in their cities

Once again, OHCA has updated their rates for providers! You need a system that can keep up with these changes! Get ThinkHealth and get up to date with the latest changes in procedures, codes and rates that the State keeps constantly fluctuating! New rates going into effect April 1 for Medicaid providers have already been put into place in ThinkHealth. Call 405-286-1678 for more information.

Successful SURS Audit!  In March, a ThinkHealth member was visited by 9 SURS auditors. After spending all day and pulling hundreds of patient records, the auditors concluded that there were ZERO issues wrong—a record that the center’s owner attributes 75% of entirely to ThinkHealth.