April Tip of the Month
Did you know you can store important documents and pictures using the Album feature? Under your Individual Home Page tab, Select the individual that you would like to access. Once you have their home page pulled up, click on the Profile listing on the top left (just under their photo). As you scroll down the page, you will see the Go To box on the left hand side with the Album link listed there. You can create albums such as “Important documents” or “2017 photos” that you would like to store for the individual. Keep in mind though that this option does not allow you to search for documents. If you need to store several documents or documents that are consistently updated, you may want to use the document storage module instead. Hope everyone had a Happy Easter!
Happy February everyone! I am happy to say I made it through the storms/tornadoes in South Georgia with only needing a new roof so I consider myself blessed. My thoughts go out to my friends in the northern states who are experiencing a winter storm.
Therap Tip of the Month: Administrators who enter ISP programs should submit the information a few days prior to the start date instead of approving right away. This gives the administrator time to review it again before approving it. Best case scenario would be for one person to enter the program and another person review and approve, but we all wear many hats in this field so there is not always that extra staff. The double-check will cut back on omitted information and spelling errors.
Happy Valentine’s Day!
HB 768, Georgia’s Achieving a Better Life Experience (ABLE) Act, was passed by the Georgia General Assembly this session and signed into law by Governor Deal on May 3, 2016, thanks to the efforts of a coalition of more than 35 advocacy organizations led by All About Developmental Disabilities (AADD) with the assistance of Autism Speaks and the Georgia Council on Developmental Disabilities (GCDD).
The ABLE Act is a law passed by Congress in December 2014 with strong bipartisan support. It amends the Internal Revenue Code to allow for tax advantaged savings account like the 529 higher education savings accounts we have had in Georgia for many years. The primary purpose of an ABLE account is to allow people with serious disabilities to save for qualified disability expenses without violating the $2,000 asset limits that apply to eligibility for Medicaid, SSI (Supplemental Security Income) and other benefits programs. Thirty-six states have created the legal authority for ABLE account programs.
Reference: All About Developmental Disabilities, Disability Scoop
How do we monitor success in the services that we provide? We all enter a lot of data every day into Therap, but how are you using it? Do you look at health care reports to see if a person is gaining or losing weight? Do you monitor how many times the person has been to the doctor with the flu in the past few years? How does the data “speak to you” so that you are providing person centered services to the people you support? Just food for thought…Happy Therap-ing.
Hopefully by now everyone is working out the “kinks” in their ICD-10 codes. I have learned from other providers that a “parent” diagnosis of an Intellectual Disability is needed (F70, F71, F72, etc.) instead of a diagnosis of autism or other disabilities. In order to get paid for a service that is strictly for individuals with intellectual disabilities, you must have a diagnosis of an intellectual disability. If you do not have a primary diagnosis, you need to get one as soon as possible. So far, we have had smooth billing! Hope everyone else is having success as well!
For any providers who have not billed using the new ICD10 codes, claims that include diagnosis codes for unspecified intellectual disabilities are not being paid. I also spoke with a local physician who is having trouble with his billing because he stated that he has to know the cause of the illness before he can select the correct diagnosis code. For example, if a patient has pharyngitis, he would need to know if it is bacterial or viral. So more tests have to be order in order to select the right code – there is no unspecified code anymore. But, while he is ordering the additional (and costly) tests, he cannot bill the current appointment because he is awaiting the test results to get the correct diagnosis to bill by. It is slowing billing down and causing some major issues. When we find out more about how to bill the individuals with the 319 code, I will let everyone know. For now, it looks like you have to have the person “re-diagnosed” to get a billable code.
In less than a week, the transition from ICD-9 number to ICD-10 will be fully implemented through CMS. I hope everyone is ready and has mapped their diagnosis codes on their prior authorizations. Therap updated the billing module through the 2015.0.24 update to meet these standards. For more information, you can read the release notes posted on the Therap web site. Happy claims everyone!
For more information on the transition: https://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html?gclid=CLeJhveqksgCFUg7gQodojkO8A
The Obama administration is expected to delay the enforcement of the new FLSA rule until July 2015. Of course the law will still take effect January 1, 2015. The new law will effect many host homes in our state and across the nation if the host home provider is currently being contracted to provide the service. It is a great step forward for caregivers who are not currently receiving basic labor protection, but it is also scary to think that people with disabilities may lose longtime caregivers due to the the funding sources not being enough to cover a 24/7 employee with benefits. It will be interesting to see how providers work through this dramatic change.
Thinking about our accreditation next week, it seemed fitting to post on person-centered excellence. Discovery begins with the understanding that every person is unique and has the right to advocate for themselves. Discovery should build more on strengths than focusing on weaknesses. It should be more than “a plan,” it should be the person’s life story, hopes, dreams, and goals. It should include all aspects of the person’s life, including health, safety, gifts, preferences, and spirituality (holistic care). These are the things that we get paid to work on. As providers, we should all be providing the best possible services that we can. As many of us know, we are not in it for the money but the gratification we receive when we truly make a difference in someone’s life.