HIPAA & HITECH
In what cases must a release of information always be filled out?
What is... any time when you are discussing client PHI with people outside of CFF.
Interactive Question
*Spot the issue
This is the amount of time a note is expected to be done following a session.
What is within 2 business days of service?
These tools are used to track guidelines for services and the deadlines for each client (ie. treatment plans)
What is the Chart Audit tool and treatment plan tracker?
*Please pull up one of your client's treatment plan trackers & chart audit tool
Name, DOB, Address, SSN, MA number, and diagnoses are all examples of what kind of information?
What is Protected Health Information (PHI)?
Intentionally billing for services not provided/phantom visits, Billing for visits that you did not participate in, but others did, Billing for more hours than there are in a day, & Falsifying Credentials/Signature are examples of?
What is Fraud?
The amount of time the initial treatment plan is to be signed by the family, clinicians, and Director.
What is within 5 days of opening?
How many times a year are satisfaction surveys sent out?
2 times a year (March & September)
You want to collaborate with a school or PCP and you want to send information via email for collaboration. What are some things you check for/do?
What is... an ROI on file, passcode protect the document, and de-identifying email?
When an encounter is filled out with the wrong session times by accident. What is the process that follows?
What is... get a new encounter signed and make sure the claim that was billed is corrected?
What document do reference whenever you have a programmatic question?
What is the Family Based Policy & Procedure manual?
These are sent out to families quarterly as a way to verify services.
Service Verifications
DAILY DOUBLE: The types of ROIs we have at CFF, List them & the ages of consents.
What is the: Educational, Medical Dental – parents maintain rights until 18 yrs of age; Mental Health – clients gives consent starting at age 14; Substance Use/HIV – client is the ONLY person who can ever give consent for these
Please give examples for Fraud, Waste, or Abuse:
Fraud: Incorrect billing, Forging signatures
Waste: Overordering assessments/evaluations, Doing excessive non face to face services, Using excessive services
Abuse: unnecessary costs to the Medicare Program (i.e services billed by mistake), improper payment (i.e. misusing codes), payment for services that fail to meet professionally recognized standards of care (i.e. insufficient documentation)
TRUE OR FALSE: The P &P is expected to be looked at yearly for whether updates are needed.
True
How often are treatment plans updated since start of services?
Monthly - referencing dates on the treatment plan tracker.
HIPAA & HITECH mean
What is Health Insurance Portability and Accountability Act & Health Information Technology for Economic
and Clinical Health?
DAILY DOUBLE: Demonstrate the steps of the billing process.
Reference P & P for accuracy.
What is the process for incident reporting? Please go find it outlined in the program P &P.
*Reference program P & P
What assessments are in the Family Profile and how long from the start of treatment should the FP be completed.
Reference Treatment Plan tracker and give answer.