Colorado expects to impose caps on the number of targeted case management (TCM) units that can be billed per client served, limiting us to 240 x 15 minute units per fiscal year, starting with a limit of 60 units for April – June 2012. Although the proposal is still in draft, and April is now history, we are anticipating that it will become reality, and have been updating our TCM service authorizations to include those limitations. I created 3 month service authorizations to limit usage to 60 units, which I will edit if the caps do not become retroactive to April 1. Case managers will still be able to enter all of the real units used, but the service authorizations will prevent us from overbilling. We do have issues to address to deal with meeting the needs of some of our clients who have frequent contact with case managers. I pulled a billing report for the first three months of the year, and found a handful of individuals who had used well over 100 units just in those three months! We are brainstorming ways to help clients find alternative means of addressing their needs, not using their case manager as their one source of assistance or safety net, or whatever. It will be a challenge to avoid providing costly free services.
Testing. Testing. Is this thing on.
I am new to the great big sea of information that is Therap. I have been swimming in it for about a year and have come to realize a few things. First, the deeper into Therap one goes the more amazing it is. Second is that fact that once you step into the Therap waters you are carried swiftly (and gladly) into those deeper waters. And finally I have learned that no matter how deep you get there is always a friendly Therapite to guide you.
Until next time this is Craig, from the blue waters of the Pacific Northwest, signing off… Wait is this thing still on.
- this may be the most awesome photo ever…
Heather Thornton is the Program Coordinator for Carmel Community Living Corporation (CCLC) in Boulder, Colorado. She is tenacious! It only took us about three months to finally get together! Heather is an Oklahoma transplant (though you could never tell by her accent!) and has lived outside of Denver for around two years. She handles all of her agency’s training and provider administration. She reports that CCLC is using just about everything except billing (but most likely not for long!). Heather is the second trainer from Colorado, joining Linda Medina as a representative of the Rocky Mountain state.
And she is a Therap queen…like someone else I know (Renee!!!).
I just realized today that I missed posting ANYTHING last month! Whoops! Of course, it is far easier to remember your password if you post regularly…
We have just finished crafting the final version of our new Electronic Data Management policy, related to all things Therap. As a result, we will be implementing new, more secure and more regularly changed passwords. Yes, I am prepared to be thoroughly detested by all staff here shortly, as people REALLY complain about having to change their passwords and having to try to remember something new. Not only do we have to log in to our computers and Therap, many staff work with a variety of software systems required by state agencies, and have as many as 7 other log-ins and passwords, all of which have different re-set dates. I tried to be clever and just reset four when the first had to be reset, to use the same password multiple times. Unfortunately, my trick to help me remember without writing it down actually backfired and resulted in me forgetting the password needed to access all four systems!!
We started building a Therap oversight account a few months back – we are a case management agency contracting with a number of service provider agencies and independent contractors to provide services to our clients. We have five service agencies in some stage of beginning to move to Therap, but so far only two are far enough along that we are able to access any information via the oversight account. There have been a few changes to the account since it was first initiated, and when I finally had time to spend in there, had to play around awhile to find what I needed. Now, once the client is connected, it is nice to see what information can be pulled via reports or even to look at what is going on outside of our agency, without having to wait to receive a paper copy or physically going to a program location to conduct monitoring. I am hoping the oversight account continues to grow and develop capacity, and intend to continue making suggestions as I work my way through it.
My eyes are getting tired and my neck is getting stiff – I need a lower screen so I can stop leaning my head back to peer through my bifocals at the screen! Or just use my laptop, perhaps. Either way, I need to stop typing and go request some accommodations. And try to think of something more exciting to write about before next time! Linda
Happy Valentine’s Day!
I have been working with our provider agency nurse to get medications entered, so that ALL MARs will be entered in Therap (for that agency) by March 1st. Yes, I truly wish it was less tedious, but just to see how well staff are responding and recording makes it all worth it ;-/. As I work through the 1000+ drugs we are entering (currently at 822), I keep looking for shortcuts and ways to speed it along. I am liking the copy form feature! However, it is critical to assure you check each field to assure it is updated if needed. One suggestion we would like to share – although many have probably discovered it already – is that it helps to leave a blank line between dosage times for meds given more than once a day. When they are one after the other on the MAR, it is easy for staff to accidentally complete two blanks instead of just the one. Just thought I’d share!
Update on our agency fundraising house raffle: We had our first early bird drawing yesterday, giving away $2500 to a local woman who had purchased two tickets. We called her via speakerphone to give her the good news. Man, was she excited! Not only did she win the first early bird drawing, but she is still in the running to win the remaining early bird drawings, the multi-ticket drawing, and the grand prize! I hope that different people win each prize, but wouldn’t it be amazing to win more than once?!?! If you are that person, of course… It is not too late to get your tickets, to help support a great cause. Purchase by 2/28, and you will be entered into two more early bird drawings, with the multiple ticket and grand prize drawing on 5/31. www.envisionhomeraffle.org.
‘Til next month – or until I get a wild hair to share –
Just wanted to share the news that, according to our finance director, our December billing submitted in January with the 5010 Medicaid changes was very successful, thanks (we believe) to Therap! Some other providers in Colorado not using Therap did report some difficulties. Kudos Therap! In these days of squeaky tight budgets, smooth billing is critical!
Hope you are all having as much success with the billing in spite of 5010 updates.