Brittco
SSAs use Brittco for entering casenotes, one their primary job duties.
What is True
TCM stands for...
What is Targeted Case Management!
Per our Board Policy, when should you enter your case notes.
What is daily?
Adding travel time to your case note time is permitted
T or F
What is False - Don't use "drive" in notes
Medicaid fraud
TCM starts when you "arrive" at destination or be creative and perform other TCM activity during commute (phone call - hands free) pod cast if related to person on caseload/etc.
Completed Case notes for Ted Lasso.
What is a bad case note?
Lacks detail - no story
What is the minimum monthly requirement (in %) for TCM documentation? (Monthly standard)
47% of worked time
TCM is only required for those individuals on waivers.
T or F
What is false?
A case note should be written in such a way that __________ would be able to obtain a general overview of the individual's needs, services provided, observations, progress or lack thereof and next steps if applicable.
What is an outsider/reviewer/anyone?
Tell the story, TCM should stand on its on
Be detailed
A new SSA shadowing an SSA is billable as long as you use different codes.
(Not someone that will be on your caseload)
What is false?
The new SSA can document but will use an unallowable code or "Training" person as practice.
If person will be on your caseload - then you can use an allowable code.
SSA reviewed the Monthly progress report from Capabilities about Maria Rose. This report comes from Rowland job coach, and it has all of Maria's information. This reports tells about Maria's job, and what she likes. Rowland, job coach wrote this up: Maria tolerates her job and as long as she is poor wants to stay working. Maria works 11 hours a week, and makes $11 dollars an hour. Maria does meet expectations with employer most of the time. Rowland reports Maria sometimes is a little overdressed for her job.
What is a good case note?
How can you use Brittco to keep track and/or let you know how you are doing with your TCM productivity?
What is Run a report? Or use Brittco Dashboard (just be aware dashboard does not reflect time off)
Finishing up work for someone who has passed away (on the date of their passing)
allowable or unallowable?
Allowable on the Date of Death
unallowable service after date of death
2 SSAs can TCM for the same times for one individual if you do this.
(If appropriate)
What is use different billing codes.
Unjustifiably increasing the number of units involved with a contact (adding more time to your case note) is known as what?
example: time with person is 1:03pm - 1:09pm
You enter case note as 1:00pm - 1:15pm
What is padding?
Medicaid Fraud
Received email:
Good morning! I am confirming our meeting at 2 pm tomorrow?
Sincerely, Bob Ross
SSA responded: Hello Bob,
tomorrow is good. See you at 2 p.m.
What is a bad case note?
Copy and paste - no detail
In Brittco, productivity is based on this amount of time per day?
What is 8 hours? or Amount of time worked
The dashboard is not 100% accurate (not tied to your hours worked) - best to run a report for accuracy.
Developing/Monitoring an IEP
Allowable or Unallowable
Be sure to never leave ____ when you finish up your notes for the month.
Hint - Are your notes complete?
Blank notes
No placeholders!
SSA Roy Kent case notes meeting with individual Jamie Tart at Wembley Stadium on 10/29/21. Jamie reports he has not seen or heard from Roy Kent (SSA) in over a year. Meeting never happened.
What is False Documentation
Medicaid Fraud
This SSA (via zoom) met with Kermit the frog and Josh Carson (BSS). Kermit said that he has been good and is really enjoying his musical training on Broadway. Kermit shared that he has been doing a better job working through his frustrations and is utilizing the strategies along with singing and writing music that has helped with him calming. Kermit said that he has been doing a better job with not letting things get to him. We went through the strategies outlined in his plan during this time. Josh Carson and Kermit talked about concluding the behavior support services since Kermit was utilizing his strategies and seems to be doing ok. Josh Carson let this SSA know that he will be send out the closure with the strategies included in the plan.
What is a good case note?
Name 2 allowable services in Brittco.
100 Bonus for each additional one you name :)
What is assessment, care planning, referral/linkage, state hearing, monitoring/follow up and emergency intervention
It is important to answer these questions within your case notes.
Who, What, When, Why, Where and How
Be sure to close the loop and document the resolution. What code would most likely be used when checking in and making sure the ISP is being followed, and needs are being met.
What is monitoring and follow up?
If you don't' document it (write it down) it didn't happen...
How many months from the month of hire are new SSAs given to learn and get up to speed on TCM before disciplinary action will be taken?
Six Months
All TCM counts - official record of what you did for, with or on behalf of that person.
SSA worked on a review of recent correspondence, to include details pertaining to requests for services, collaboration with outside agencies, planning and communication between team members and budget information for the purposes of monitoring and follow-up.
What is a bad case note?
Lots of words but doesn't really say much (who/what/where/follow up)