Managing Service Authorizations and Utilization in Therap

We are pleased to announce our upcoming webinar on “Managing Service Authorizations and Utilization in Therap”, scheduled for 25th of June, 2020 at 2:00 PM (ET). This informative session will be presented by accomplished members of our Therap Services team,

  • Marie Roland, and
  • Toni-Ann Larnaitis

Among Therap’s suite of applications, Service Authorization module is designed for agencies to list the services that a funding source will cover for an individual with some additional details like information on the service coordinator, adding comments and attaching files . Whereas, the Utilization Report is a feature of Therap’s Billing module that is used to track Service Units Utilized over a given period of time. During this session, our experts will show you the different ways you can manage service authorizations and billing units in Therap in a comprehensive manner.

Book your seat to learn more about the use of service authorizations and billing units in Therap!

Developmental Disabilities Software announces Safe Harbor Self-Certification Compliance

Therap Services Home and Community Based Services Software Meets Online Privacy Protection Requirements.

Therap Services announced its compliance with the U.S.-EU Safe Harbor framework. Therap’s developmental disabilities software complies with HIPAA and Safe Harbor security and privacy requirements for individuals, families, providers and government agencies. The self-certification includes Therap Services on the list of participating organizations for the Safe Harbor Framework, which is developed by the U.S. Department of Commerce.

Therap’s Home and Community Based Services software has certified that it adheres to the Safe Harbor Privacy Principles of notice, choice, onward transfer, security, data integrity, access, and enforcement. The development of the Safe Harbor framework is a result of the European Commission’s Directive on Data Protection. This Directive prohibits the transfer of personal data to non-European Union countries that do not meet EU standards for privacy protection.

Therap Services Developmental Disability Software ensures privacy and security in the storage and transmission of information. Case management information entered by service providers and government agencies regarding incident reports, medication administration records, or individual service plans for a person with intellectual disabilities receive reliable and secure access over the Internet. Therap’s patented software gives HCBS agencies the ability to specify caseloads and roles of authorization.

Richard Robbins, Therap C.E.O said, “European based agencies can use Therap’s system with the comfort that our security and data protection is in compliance with the Safe Harbor regulations.”

Therap’s HIPAA, ARRA and HITECH compliant Developmental Disabilities software applications are widely used in home and community-based services (HCBS) and other ID/DD provider settings for documentation, communication and reporting. The web based system by Therap provides person centered planning and assists with case management and eligibility assessments for support providers and state organizations working with developmental disabilities. Secure applications offered by Therap include individual support modules such as incident reports, medication administration records (MAR), behavior tracking, case management, individual service plans and goal tracking, health records, supported employment notes, nursing notes and progress notes among others. Therap also offers staff support for employee training management by certified trainers, individual budgeting and work scheduling as well as billing solutions including service authorizations, attendance and Medicaid claim tracking modules.

Medicaid Audits and Quality Assurance

Medicaid audit is a quality control procedure carried out to ensure that particular services are being provided in accordance with federal and state regulations and that the documentation and billing practices demonstrates accuracy and integrity. During audits, providers are faced with a number of difficulties such as reporting decentralized service delivery and locating necessary documentation, ensuring quality and accuracy of documented information, exceeding service authorizations or failing to maximize utilization. Having a bad audit results in the loss of revenue for providers and more importantly, loss of valuable services for individuals.

Therap users go through audit with minimal, if any problems. This is because:

Service authorizations specifying services, unit rate, total amounts and expiration date are saved electronically along with a scanned copy of the original document from the State.

Service hours from program attendance records and ISP outcome tracking data are immediately reported against appropriate service authorizations.

Billing data can be easily traced back to service authorizations, and service plans.

Utilization management reports can be created to track average usage and remaining balance.

Online alerts and text messages are issued when service authorizations are about to expire or exceed given limits.

All these information is readily available online, within just a few clicks or taps. As a user once put it, – “(with Therap) you would have to ignore a lot of information to have a bad audit”.

By |2016-11-03T11:10:50+00:00February 2nd, 2012|Categories: Adit's Posts|Tags: , , , , , , , , |Comments Off on Medicaid Audits and Quality Assurance

ASC X12 version 5010 compliance by Jan 1, 2012

ASC X12 5010 is the latest version of HIPAA transaction standard. All healthcare providers (including developmental disabilities support providers), clearing houses and other covered entities will have to be fully 5010 compliant by January 1, 2012.

The ASC X12 version 5010 transactions is an upgrade over ASC X12 version 4010A1. This will facilitate exchange of financial and administrative information such as eligibility inquiries, service authorizations, referrals, claims status requests, claims and remittance advice (claims payment).

According to this article on HIMSS’ financial systems newsletter ASC X12 5010 meets “many new needs for current business requirements, such as better POA reporting on claims, improved use of NPI numbers and a more functional eligibility transaction. In HIPAA version 5010, the authorization and referral transactions are significantly improved”.

Therap’s billing support will be 5010 compliant by January 1, 2012. So far, the development is going according to schedule; providers will be able to use 5010 compliant billing system (and the necessary support materials) right from the January 1 deadline. The 4010 version of ACS X12 may remain available for providers who will not yet be ready to make the transition. Looking forward to interesting times ahead!

By |2011-11-16T14:10:33+00:00November 16th, 2011|Categories: Adit's Posts, billing|Tags: , , , , , , , , , , , |Comments Off on ASC X12 version 5010 compliance by Jan 1, 2012