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.

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

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: , , , |0 Comments

Calvin in Des Moines with Candeo

IMG_20151216_174014968_HDR

Calvin assisting Candeo staff.

Calvin Christensen has been busy providing training to the staff at Candeo in Johnston, IA (Des Moines).  I have been ‘riding shotgun’ to provide additional support, should the need arise.   When finished on the 18th, Calvin will have provided 22 training sessions on Candeo’s initial modules.

Candeo moved up their GO LIVE date to 12/21 to better align with the end of the training sessions.  Everyone is excited to begin collecting data on Therap this coming Monday.   Staff have told us they believe Therap is easier than the platform they are leaving.  Out with the old and in with the new! 

This has been a great experience for both Calvin and me.  It is clear that a tremendous amount of time and preparation has been made by Candeo for this launch.  They had the smallest of details covered to ensure staff had the tools and information they need, not only for the actual training sessions, but also after the launch.

CONGRATS, CANDEO!

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

Follow Candeo on Facebook.

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.

 

 

 

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.

Candeo’s Data Entry Traveling Trophy

CANDEO-IA 2

The Traveling Therap Trophy.

Candeo, a new Therap User Agency in Johnston, Iowa,  is in the throes of implementing Therap.   They selected Therap to be prepared for advent of Managed Care, which coming to Iowa in 2016.  With the goal of having their new process launched on January 1st, the agency began implementation in early August of 2015.

Presently, sites, programs, individuals, enrollments and staff have been entered.  Candeo reports they are ahead of schedule and moving foward with Staff Scheduling Master Schedule builds and ready to really dig into Billing Plus functionality.  They have been “rockin’ it”!!

With the “GO LIVE” date approaching fast, they are busy entering ISP Programs for data collection.  To keep the process fun (and slightly competitive), they have introduced a “traveling trophy” to mark progress.

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 Lamb Chop has won the honor and possession of the  Candeo Therap Trophy!

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

Follow Candeo on Facebook.

 

Iowa User Group Meeting – 10/26/15

IMG_0827Please join your Central Region Therap Team next Monday, October 26th at 2:00pm for the Iowa User Group Webinar. This meeting is provided at no cost. All user agencies are invited to attend. Your organization does not need to be a user agency to participate.

Click here to register.

Our current agenda is as follows (subject to change without notice):

* General Announcements. How to register for the National Conference.
* MCO’s and Therap compatibility for Billing submission update.
* Annual Plan Overview: PFW, ISP, Agenda
* Overview of GER Resolution.
* Overview of ISP Data enhancements.
* Overview of Employment History Module.
* Individual Home Page.
* Training Academy.
* Q & A.

What is a user group?
A user group is a meeting of Therap users in the same state to troubleshoot, network, discuss state-wide issues and get information on the latest Therap releases. You may also ask questions and get help on any topic regarding the usage of Therap at your agency from the attending Therap team members.

Please submit your questions to the Central Team at central@therapservices.net.

Best,

Jeff Mau – IA / MN / NE Therap Business Development Consultant

jeff.mau@therapservices.net

515-423-3263

Iowa Therap Conference Recap

IMG_0857Thanks to all who attended the Iowa Therap Conference in West Des Moines, September 30th through October 1st.   All indications are that attendees enjoyed the session content and learned some new Therap tricks.   Once the coffee service was squared away and the internet service adjusted, the conference ended up being a great success.

I have been receiving comments from attendees that the combination of small and large providers was quite a benefit.  The exchange of ideas was well received by all.  This is one of the main reasons Therap hosts these events…networking and shared learning within the Therap User Community.  The best practices come from those who use the platform each and every day….YOU!

Speaking for myself, as I have only been with Therap a short while, it was a pleasure to meet our new and tenured customers.   It’s always great to put a face with a name.

Feedback for next year is always actively sought!  Please let me know what you would like to see more of next year.  I have received comments that indicate that experienced users would like to see more detailed sessions on module functionality…sessions that dig deeper.   I have also fielded suggestions that we be really specific as to what sessions are geared for beginner, intermediate and expert users.   This is the kind of information we seek to keep these events fresh and informative.

I also wanted to sayIMG_0875 thank you to our friends from Direct Course / College of Direct Support for presenting on Day 2 of the Conference.   It is always good to have them with us.   Additionally, IACP members had the opportunity learn more about this great program that is included in their membership.

Don’t forget…. The Iowa User Group Webinar is being held on October 26th at 2:00pm local time.  The meeting will last approximately 1 hour.  Register to attend!

As always…Best to you!

Jeff