Practice Management Insight

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MARK YOUR

CALENDAR

January 23-25

Partnerships to Facilitate Prevention and Recovery:  The 20th Annual Substance Abuse Conference and the 18th Annual Mental Health Best Practices Conference.

Southern Hills Marriott in Tulsa

Call (405) 522-8300.

January 30-31

Certified Problem Gambling Counselor Training Phase I: ODMHSAS Training Center 2401 NW 23rd Street, Suite 1F. Contact: (405) 522-8300 or fax (405) 522-3820

February 7-8

Steve Stewart LPC, LADC ASI-Tulsa

Tulsa Tech Center (Riverside Campus) Rm# A-144, 801 East 91st, Tulsa.

Contact: Cynthia D. Caligone at (405) 522-8300 (No Refunds)

February 7-8

SOAR Training - Tulsa

Tulsa Tech Center (Riverside Campus) 801 East 91st, Tulsa. Contact: Dawn Talton (405) 522-0103 or fax (405) 522-8661

Starting off the year, OrionNet Systems has once again begun its yearly training for new and existing member centers.  Representatives from member centers attend an OrionNet Systems training session and workshop covering features of it’s industry-leading ThinkHealth practice management system at OrionNet’s office in Oklahoma City.

Ready for OHCA changes?

ThinkHealth members are

Prior Autorization, can you find your codes? In the past, providers could check for their Treatment Plan approval information and be confident in what services were asked for.  With the latest change from OHCA, providers now have to add more steps to find out what services they should be using.

OHCA no longer lists by billing code which service was approved or denied.  If a provider submits a Prior Authorization with Individual Psychotherapy 45-50, they receive back Individual Psychotherapy, so which service is it 90804, 90806 or 90808?  It is up to the provider to find out what code to use.  The provider will have to dig back through their Prior Authorizations and see what they submitted or surf around the APS web site to find out what was submitted.

For providers who use ThinkHealth, the software is already geared to handle this.  When services are submitted on a Prior Authorization, the data flows to the approval screen.  When providers enter in their approval information all the services and details requested will be listed.

All they need to do is specify if the service was approved/denied, enter units, and service period.  The application has the Prior Authorization information, billing codes, etc., all the information necessary that will flow to Progress Notes and Billing.

Rates and RVU changes, how did it affect your center? Beginning January 1, 2008, OHCA rates and RVUs for services changed for private providers, both child and adult.  Some rates went up and some went down.  Notification of the change, what exactly changed, and when it would take affect did not happen until the second week, but everything was retroactive back to January 1, 2008.

These changes while good since some rates went up, caught many centers by surprise and left them scrambling to re-bill their services.  Providers who use ThinkHealth were barely affected by the change since OrionNet Systems kept them informed of the changes, updated the software within hours of being notified about the changes, and guided them through any general questions about the change.