Brittco
SSAs use Brittco for these 2 primary job duties
What are TCM and OhioISP?
TCM stands for...
What is Targeted Case Management?
Time it is best to enter your case notes.
What is same day?
True or False: Adding travel time to your case note time is permitted.
What is False? - Don't use "drive" in notes
TCM starts when you "arrive" at destination or be creative and perform other TCM activity during commute (phone call - hands free)
Completed Case notes for Elmer Fudd.
What is a bad case note?
Lacks detail - no story
The minimum productivity expectation for SSAs with a full caseload.
What is 50% of worked time?
True or False: TCM is only required for those individuals on waivers.
What is false?
A case note should be written in such a way that __________ would be able to obtain a general overview of the individuals 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
True or False: A new SSA shadowing an SSA is billable as long as you use different codes.
What is false?
The new SSA can document but will use an unallowable code or "Training" person as practice.
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 wrote this: 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?
One way you can use Brittco to keep track and/or let you know how you are doing with your TCM productivity.
What is run a report?
Activity/service code used after the date of an individual's death or when the individual is in a hospital, nursing facility, or jail.
What is unallowable/services provided to those not eligible?
2 SSAs can TCM for the same times for one individual if you do this.
What is use different billing codes?
Unjustifiably increasing the number of units involved with a contact is considered (adding more time to your case note)
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 6 hours?
True or False: If a previously completed and billed note is found to have an error, you can just change the note without any explanation.
What is false?
Notes for the previous month will be completed by this date.
What is 10 working days into the next month?
SSA Joe Schmoe case notes a meeting for individual Jamie Tart at Los Mariachis on 07/29/23. Jamie reports she has not seen or heard from Joe Schmoe (SSA) in over a year and that such a meeting never happened.
What is this called?
What is False Documentation or 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 of the 6 allowable services/billing codes for Targeted Case Management.
What are assessment, care planning, referral/linkage, state hearing, monitoring/follow up, and emergency intervention?
Following up on issues addressed in previous notes or reporting an outcome of an issue.
What is "closing the loop"?
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...
Consequences for an SSA whose casenotes have been falsified.
What is disciplinary action?
The agency or the SSA could be sued and required to make back payments from the fraudulent case notes/times.
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)