The Coalition’s Professional Learning Center
Medicaid Compliance and Documentation
for Substance Abuse Providers
Jack Jordan
JMJ HealthCare Compliance
November 20, 2007
Medicaid Compliance: Provider Protection for 822 Programs
This workshop is intended to provide participants with information that is essential to understanding audit risk and the procedures and techniques necessary to limit those risks. The workshop will cover the current enforcement environment, current audit procedures and protocols being used by the OMIG, as well as likely targets for future review.
Key regulatory requirements, along with most common areas of audit disallowances, will be topics of discussion. A part of the session will focus on developing an effective compliance program and the key compenents of an interal review process to support such a program. A questions and answer period will conclude the presentation.
Derek Jansen
Practice Management Alternatives
April 8, 2008 9am - Noon
Medicaid Document and Coding for Substance Abuse Providers
Requirements for documenting your substance abuse treatment services don’t vary greatly from other treatment services, though there are subtle and often unnoticed "links” between diagnoses, service provided and client progress that auditors expect.
There is federal guidance for documenting and substance abuse services, most associated community behavioral health services; and in many instances NY State has added additional layers of requirements. We will review a range of acceptable methods of medical record documentation including minimum documentation guidelines, added state-specific requirements and what providers can do in circumstances where there is little guidance from either state or the feds.
April 8, 2008 1pm- 5pm
Medicaid Billing 101
The author/poet/singer Bob Dylan once sang “The times they are a-changing”. While he likely wasn’t forecasting what is happening to Medicaid in NY, those times are “a-changing”, too.
Complying with the state’s billing requirements for Medicaid can be a daunting task to the most experienced provider organizations. For new processes, it can mean the difference between survival and its alternative. This session will focus on the fiscal and operational tasks necessary to successfully operate a billing system that must interface with new and varied payment processes.
©2007 The Coalition of Behavioral Health Agencies, Inc. [email protected]