Empowerment Clinic

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Empowerment ClinicWhere We Believe in the
Human Family
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Our Agency

• Empowerment Clinic recently completed an Articles
  of Merger to become a certified, 501-C3
  non-profit entity.
• ATODA,Mental Health Life Improvement Services
  Clinic
• 6001 W. Center St. Suite 201, 203 99LL
• Milwaukee, WI 53210

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The Clinic today resembles a one-stop-shop for
its clientele, collaborating with other agencies
and resources within the community. Empowerment
Clinic supplements its clinical interventions
with anger management group sessions, Crisis
Stabilization, Re-entry programming, Job
Training/Placement, guidance/assistance with
child support responsibilities medical checkups
tobacco education and parent support groups. The
clinic as provides traditionally hard services
such as transportation, clothing, haircuts, and
meals for families.
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Those We Serve

• Correctional Clients
• Tobacco Smokers
• General Public
• Disadvantaged
• Victims of Domestic Abuse (Women)

• Parents
• Families
• Children
• Adolescents
• Those searching for their own meaning of what is
  commonly referred to as God

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Determining Eligibility

• Successes/Challenges

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We are part of the

• Milwaukee County Behavioral Health Division
• WIser Choice/NIATx
• Billing Initiative

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We Bill Medicaid

• United Behavioral Health
• ABRI
• Childrens Community Health Plan
• Other payer sources State, County, Local, EAP,
  Grants

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Verifying Coverage

• Office Manager
• A. Intake
• B. Initial Phone Call
• C. Client Information Sheet
• clientinfosheet.pdf

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Prior Authorization

• Electronically through portal
• A. https//www.forwardhealth.wi.gov/WIPortal
• B. Initiated by Progress Notes
• a. Eighth note triggers PA
• b. braxtonM.pn8.3.8.11
• c. Dropbox/Clients folder/checked folder
• d. Therapist Checklist
• Therapist Checklist.xls

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Invoicing

• Electronic
• Community Health Plan
• A.cms1500.pdf
• B. Client Database Sheet
• Includes DSM IV diagnosis Time of session

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Challenges

• Collection of co-pays
• Most common reasons for rejection
• 1. Unauthorized Service
• a. Family Planning not reimbursable
• 2. Client no longer eligible for services
• 3. Duplicate Billing
• a. Date on Progress note incorrect

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Rejection Rate

• Less than 10