fbq('track', 'Lead');

Iowa Billing User Group Webinar – 2nd Opportunity to Learn!

WOW!    What a great turnout on Tuesday the 7th  for our Iowa Billing User Group Webinar.   Thank you for attending!

The webinar video is now available.  Use these links to view…

If you missed the 11/7 IA User Group Webinar to address the “Iowa Tiered Rates & Billing Changes in the Billing Plus Module” or wish to attend again, there is a 2nd opportunity to do so.

Next Thursday the 16th at 2:00pm local time, our Iowa Therap Billing Specialist, Heather Thornton will again provide an overview of how to adjust your Therap Service Authorizations in preparation for the change to the tiered rate structure.

The intent of this training is to get you prepared and review the steps to complete your Therap Service Authorization updates.

This is open to the entire Iowa Therap User Community.

Use the following link to register:

https://attendee.gotowebinar.com/rt/1802482574373438211

You do not need to be a Therap Billing Plus Module subscriber to attend!

Questions? Seeking more clarity? Desire a 1:1 session? Please ask! Heather can be reached at heather.thornton@therapservices.net. We want you to be ready.

Best,

Jeff

Are you going to the Therap Nat’l Conference?
If not, you should!

Therap Nat’l Conference – Jan 30-Feb 1, 2018 – Omaha, NE

By |2018-02-25T13:15:30+00:00November 8th, 2017|Categories: Billing Plus, Central Region, Heather Thornton, IA, Iowa, Iowa Manged Care, Jeff Mau, User Group|Tags: , , , , , , |Comments Off on Iowa Billing User Group Webinar – 2nd Opportunity to Learn!

Iowa Therap User Webinars: Tiered Rates & Billing Changes in the Billing Plus Module.

Please join our Iowa Therap Billing Specialist, Heather Thornton as she provides an overview of how to adjust your Therap Service Authorizations in preparation for the change to the tiered rate structure.

While you may not have your updated NOD’s just yet, the intent of this training is to get you prepared and review the steps to complete your service authorization updates when you have them in hand.

There will be 2 opportunities to attend these informational training sessions.

  • Tuesday, November 7th at 10:00am local time.
  • Thursday, November 16th at 2:00pm local time.

You may attend 1 or both.  As always, our webinars are offered at no charge to the Therap User Community.

Use the following link to register:

https://attendee.gotowebinar.com/rt/1802482574373438211

Use the pulldown menu to select your desired date / time (first list field).

You do not need to be a Therap Billing Plus Module subscriber to attend!

Questions? Please ask! Heather can be reached at heather.thornton@therapservices.net.

You may also reach the entire Central Team via email at central@therapservices.net.

Best,

Jeff

Are you going to the Therap Nat’l Conference?
If not, you should!

Therap Nat’l Conference – Jan 30-Feb 1, 2018 – Omaha, NE

By |2017-10-31T16:57:00+00:00October 31st, 2017|Categories: Announcement, Billing Plus, Central Region, Heather Thornton, IA, Iowa, Iowa Manged Care, Jeff Mau, User Group|Tags: , , , , , , |Comments Off on Iowa Therap User Webinars: Tiered Rates & Billing Changes in the Billing Plus Module.

Therap in Iowa – MCO’s & Billing Functionality Update 2.9.2016

Greetings Iowa Therap User Community!

As we wait for CMS to rule as to whether or not the Iowa Medicaid Modernization initiative is a “GO” for March 1st, Heather Thornton, Therap Billing Specialist, has askedMedicaid-Managed-Care-Square that I share the following regarding agency preparation…

In order to process claims via Therap for the Iowa MCO’s, clearinghouse enrollment is required. Therefore, if Iowa providers using Therap’s Billing Plus module want to send me their NPI, EIN and address information for enrollment into the clearinghouse, I can enter that information now. Please send ALL of your NPI numbers.

Send this information to heather.thornton@therapservices.net .

Upon receipt and after I enter this information on your behalf, the agency will have the capability to submit claims to the Iowa MCO’s via Therap.

In order to obtain your ERA (Electronic Remittance Advice) for AmeriHealth, there is a pre-enrollment form that must be completed by the agency. If not done so already, please request this form when you send your NPI, EIN information for Amerihealth to me. I will then send you the form that needs to be completed. In turn, you must complete the form and send it to the listed address for Amerihealth.

As you are aware, IME has stated that they will be paying all Iowa Magellan claims for the service dates starting on and after 1/1/16. To make sure you are able to bill within Therap during this transition time, your funding source listed on the Magellan Service Authorizations will need to be changed to IME.

If you have already generated Iowa Magellan claims, you will need to create a new Service Authorizations for the Iowa Magellan claims and replace the funding source with IME in order for them to be processed.

AGAINplease wait to expire current service authorizations until further notice.

As stated in previous communications, this is all predicated on whether or not CMS approves the Managed Care initiative for Iowa and the new 3/1/16 start date.

THERAP IOWA PROVIDER BILLING WEBINAR BEING PLANNED.

Once we have definitive information on the start date for the Iowa Medicaid Modernization initiative, I plan to hold an instructional webinar for Iowa Providers using the Billing Plus module and explain how to move your current Service Authorizations to the new MCO funding sources and other preparation tasks. More information regarding this webinar will be shared when available.

As always, please feel free to contact me (heather.thornton@therapservices.net) if you have any questions specific these changes in the Billing Plus module. We will keep you updated on the progress as we want this to be an easy transition.

By |2016-11-03T09:56:36+00:00February 9th, 2016|Categories: Billing Plus, Central Region, Heather Thornton, IA, Iowa, Iowa Manged Care, Jeff Mau, Training & Implementation, Uncategorized|Tags: , , , , , |Comments Off on Therap in Iowa – MCO’s & Billing Functionality Update 2.9.2016

Therap in Iowa – MCO’s & Billing Functionality Update 2.4.2016

TESTING OF MCO ELECTRONIC LINKS FOR THERAP BILLING COMPLETE!

Iowa Providers that utilize Therap’s Billing Plus functionality (the ability to submit claims directly from the platform), please find below our current progress.Medicaid-Managed-Care-Square

Therap Billing Specialist, Heather Thornton, is pleased to share this update…

Therap has completed their testing with the 3 current MCO’s…

  • Amerigroup Iowa, Inc.
  • AmeriHealth Caritas Iowa, Inc.
  • UnitedHealthcare Plan of the River Valley, Inc.

….and test claims have gone through the clearinghouse with no issues. The funding sources are now available in Therap.

This is great news as it means that when the MCO’s do GO LIVE, Therap Billing functionality will be ready.

NOTE: As we are all aware, Wellcare was disqualified from the Iowa Medicaid Modernization initiative on 12/18/15.   As of 12/22/15, Wellcare was/is appealing the decision. While Therap will keep that link available, testing will not be done until a decision on the appeal is announced.

NEXT STEPS
While this is a relatively small task, you can create the funding sources in your Therap platform for the 3 current MCO’s and attach the applicable “Payer”. Please see steps below:

  • Go to Admin Tab -> Billing section
  • From “Funding Source”, select “New”.
  • Input the applicable MCO information. (Red asterisk = Required)
  • Select applicable “Payer” option from the pull down menu in the Electronic Billing section (near bottom of the page).
  • Click on “Save”.
  • Complete the process for the remaining MCO’s.

AGAINplease wait to expire your current service authorizations until further notice.

This is all predicated on whether or not CMS approves the Managed Care initiative for Iowa and the new 3/1/16 start date. From the available information, CMS is forecast to return to Iowa in mid-February to make that determination.

THERAP IOWA PROVIDER BILLING WEBINAR BEING PLANNED.

Once we have definitive information on the start date for the Iowa Medicaid Modernization initiative, I plan to hold an instructional webinar for Iowa Providers using the Billing Plus module and explain how to move your current Service Authorizations to the new MCO funding sources and other preparation tasks. More information regarding this webinar will be shared when available.

As always, please feel free to contact me (heather.thornton@therapservices.net) if you have any questions specific these changes in the Billing Plus module. We will keep you updated on the progress as we want this to be an easy transition.

By |2016-11-03T09:56:36+00:00February 4th, 2016|Categories: Billing Plus, Central Region, Heather Thornton, IA, Iowa, Iowa Manged Care|Comments Off on Therap in Iowa – MCO’s & Billing Functionality Update 2.4.2016

Therap in Iowa – MCO’s & Billing Functionality Update 1.2016

The CMS decisions in December to delay the start of the Managed Care in Iowa, has provided us a bit more time to prepare for the start of the initiative. To that end, Medicaid-Managed-Care-SquareTherap continues to move forward with the Billing System preparation.

Iowa Providers that utilize Therap’s Billing Plus functionality (the ability to submit claims directly from the platform), please find below our current progress.

Therap Billing Specialist, Heather Thornton, has provided the following update…

The electronic links to submit claims from Therap to the 4 MCO’s via Emdeon were completed on 12/18/15. As luck would have it, the news regarding Wellcare’s contract being terminated was released the same day.

On 12/22/15, we saw that Wellcare was/is appealing the termination decision. Therefore, we are keeping that link available in the event Wellcare wins the appeal.

Therap will be working with an Iowa agency to complete the link testing process this month. We anticipate this testing to be complete by the end of January.

As shared in December, “…once (it is established) that these links are fully functional, we will make them available as funding sources in Therap.

In turn, providers can then begin working on Service Authorizations for the Managed Care Organizations. Providers will need to create new Service Authorizations in order to apply these new funding sources.”

When this process can advance, providers will expire existing service authorizations for 3/1/16.

AGAIN – please wait to expire your current service authorizations until further notice.

Please note, this is all predicated on whether or not CMS approves the Managed Care initiative for Iowa and the new 3/1/16 start date. From the available information, CMS is forecast to return to Iowa in mid-February to make that determination.

Please feel free to contact Heather (heather.thornton@therapservices.net) if you have any questions specific these changes in the Billing Plus module. We will keep you updated on the progress as we want this to be an easy transition.

To learn more about Therap’s Billing Plus Module, click here.

By |2016-11-03T09:56:36+00:00January 11th, 2016|Categories: Announcement, Central Region, Heather Thornton, IA, Iowa, Jeff Case, Jeff Mau, Uncategorized|Tags: , , , |Comments Off on Therap in Iowa – MCO’s & Billing Functionality Update 1.2016

SAVE THE DATES! 2016 IA & MN Regional Therap Conferences.

I am pleased to announce the dates for the Iowa and Minnesota Therap Regional Conferences.  Would you be so kind as to note these on your calendar?

IOWA:  June 1-2, 2016 in West Des Moines.   Site: Sheraton West Des Moines Hotel

Click here to register for the Iowa Conference.

MINNESOTA:  August 16-17 in Burnsville.  Site: Best Western Premier – Nicollet Inn

Click here to register for the Minnesota Conference.

Feedback from last year’s IA & MN conferences clearly indicated a desire to have more sessions for the intermediate and advanced Therap Users.  To that end, PLEASE let me know what topics you wish to focus on.  Send your suggestions to jeff.mau@therapservices.net.  I really want to hear from you!

We also seek presentations from our user community!  If you have a topic about your Therap use or how a particular module benefited your agency, please share your experience with fellow providers.  Again, please send your topic and/or presentation outline to jeff.mau@therapservices.net.  Don’t be shy….you’ll be sharing with friends.

Best,

Jeff

By |2016-11-03T09:56:36+00:00January 11th, 2016|Categories: Announcement, Calvin Christensen, Central Region, Conferences, Heather Thornton, IA, Iowa, Jeff Case, Jeff Mau, Minnesota, MN, Sarah Christensen, Training & Implementation|Tags: , , , , |Comments Off on SAVE THE DATES! 2016 IA & MN Regional Therap Conferences.

Therap in Iowa – MCO’s & Billing Functionality Update

Iowa is quickly moving towards Managed Care. While there are still several issues yet to be resolved by the governing parties involved, Therap, like you, is preparing for the January 1st start date. We anticipate no insurmountable issues with this change. Therap is very comfortable in an MCO environment.

Heather Thornton, our Billing Specialist who is deeply engaged with this Iowa change reports the following…

“Therap is in the process of establishing the electronic links for the Iowa MCO’s with the clearinghouse, Emdeon. We expect to have this completed towards the end of the December.

When these links are established, Therap will then proceed with testing of claims submission through each of the MCO’s, to make sure everything is ready to “Go Live”.

Once Therap establishes that these links are fully functional, we will make them available as funding sources in Therap.

In turn, providers can then begin working on Service Authorizations for the Managed Care Organizations. Providers will need to create new Service Authorizations in order to apply these new funding sources.

When this process can advance, providers will expire existing service authorizations for 12/31/15.

Please wait to expire your current service authorizations until further notice.”

This is all predicated on the responsiveness of the MCO’s and whether or not CMS approves the Managed Care initiative for Iowa and the 1/1/16 start date.

To learn more about Therap’s Billing Plus Module, click here.

 

By |2016-11-03T09:56:37+00:00December 17th, 2015|Categories: Central Region, Heather Thornton, Iowa, Jeff Mau, Uncategorized|Tags: , , , |Comments Off on Therap in Iowa – MCO’s & Billing Functionality Update

Candeo’s Pod SE Takes Trophy!

Candeo’s Pod SE had ISP Programs for 199 individuals to enter into their new Therap CANDEO-IA 2account.  That’s a tall order to complete in 4 weeks and attend to the daily tasks that do not stop and cannot be set aside.

Well, Pod SE accepted the challenge and migrated all of the programs for their population ahead of schedule and have been awarded Candeo’s  Therap Trophy for week 4.  Congrats and outstanding work!!

Nancy S. Baldus, Candeo’s Director of Quality Enhancement, adds, “Congratulations to Candeo!  As of last Thursday we are at 100% of ISP (programs) entered!  That is 5 days ahead of schedule for our 323 clients!

Staff Training begins on December 7th.  GO LIVE is January 1st.

HERE WE GO.

To learn more about Candeo, please feel free to visit their website:  http://www.candeoiowa.org/

Follow Candeo on Facebook.

 

 

 

Candeo’s Pod Babs has the Therap Trophy

It’CANDEO-IA 2s week 3 of Candeo’s ISP Program migration competition.  This week, Pod Babs has attained 100% of their assigned program entry goal.  The agency is well on it’s way to being ready for staff training (starting December 7th) and “GO LIVE!” (1/1/16).

ISP Program migration is not an easy task.  Candeo needed to review their current format, map the information to the Therap format, determine scoring methodologies, generate some ‘test’ programs to prove their theories… then, train the team and begin the process of migration.  For an agency of this size and their compressed timeline… WOW!  Impressive!!

Pod Babs – Great job and way to go!  Enjoy that trophy!!

Please read about the week 1 and week 2 winners here.

To learn more about Candeo, please feel free to visit their website:  http://www.candeoiowa.org/

Follow Candeo on Facebook.

 

 

 

By |2016-11-03T09:56:37+00:00November 10th, 2015|Categories: Announcement, Calvin Christensen, Central Region, Heather Thornton, Iowa, Jeff Mau, Training & Implementation|Tags: , , , , , |Comments Off on Candeo’s Pod Babs has the Therap Trophy

Candeo’s Pod Hodge Podge Earns Honors!

Last week I blogged about Candeo’s Data Entry Traveling Trophy.  If you missed the blog, here’s the high level overview…CANDEO-IA 2

Each service coordinator team (which Candeo references as a “pod”) has a weekly goal for ISP Program migration (from their former platform to Therap).  When all pods reach their mark, they will be fully prepared for staff training starting on December 7th.

This week, the Pod Hodge Podge has won the honor and possession of the  Candeo Therap Trophy.  They have migrated 100% of their ISP Programs.  I am told this is far ahead of the target!  Congrats to Hodge Podge.  Great Job!!

Stay tuned to see which Pod earns the trophy next week.

To learn more about Candeo, please feel free to visit their website:  http://www.candeoiowa.org/

Follow Candeo on Facebook.

By |2016-11-03T09:56:37+00:00November 4th, 2015|Categories: Calvin Christensen, Heather Thornton, Iowa, Jeff Case, Jeff Mau, Training & Implementation, Uncategorized|Tags: , , , , |Comments Off on Candeo’s Pod Hodge Podge Earns Honors!