BHRS Providers Meeting

1
BHRS Providers Meeting

• CBHNP

2
Presenters

• Keven Cable, Provider Relations Trainer and
  Educator
• Mollie Seifert, Provider Relations Representative
• DJ Dunlap, Quality Management Clinician
• Pam Wilshere, Childrens System Coordinator
• Deb DeVivo, Childrens Services Supervisor

3
AGENDA

• Clinical
• Updated Forms handouts
• Clarifying Statements vs. Addendums
• Signatures on Preferred Provider Forms
• ISPT Meetings Reminders/Issues
• Capacity Reporting
• School Feedback
• TSS without a lead clinician
• Treatment Plans measurable goals and progress
• Provider Relations
• Third Party Insurance
• Billing handout
• Administrative Appeals
• Provider Portal/ Provider Connect
• Quality Improvement
• Initial treatment plan reviews

4
Clinical Updates

• Clinical
• Updated Forms handouts
• Clarifying Statements vs. Addendums
• Signatures on Preferred Provider Forms
• ISPT Meetings Reminders/Issues
• Capacity Reporting
• School Feedback
• TSS without a lead clinician
• Treatment Plans measurable goals and progress

5
Provider Relations Updates

• Third Party Insurance
• Billing handout
• Administrative Appeals
• Provider Portal/ Provider Connect

6
ProviderConnect Update

• Provider Web Access
• ProviderConnect allows authorized providers in
  network to
• Check status of all authorizations
• Submit or check status of claims

7
Provider Portal

• Easy access to latest news, events, forms,
  policies, frequently asked questions and contact
  information Providers need
• You may register on CBHNPs website www.CBHNP.org

8
Quality Improvement Updates

• Initial treatment plan reviews
• Billing for grievances 
• Billing for observing TSS 

9
Discussion

• New Process Feedback Discussion

10
Question and Answer period

• ?
• January 15, 2008, 9AM-12Noon at PA Med Society