1 / 15

SMART FACTS Training

SMART FACTS Training. Simple Inquiries and One-on-One Counseling October 7, 2011. Objectives. 2. Agenda. Resources: Simple Inquiries and One-on-One Counseling . NEW: SMP Counselor Training Manual! www.smpresource.org > Resources for SMPs > Training. Outreach & Education Program.

kaori
Download Presentation

SMART FACTS Training

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SMART FACTS Training Simple Inquiries and One-on-One Counseling October 7, 2011

  2. Objectives 2

  3. Agenda

  4. Resources: Simple Inquiries and One-on-One Counseling • NEW: SMP Counselor Training Manual! • www.smpresource.org > Resources for SMPs > Training

  5. Outreach & Education Program • SMART FACTS provides tools to plan, conduct, and track program outreach and educational activities • Five mandatory categories for the OIG Report • Simple Inquiries • One-on-One Counseling Sessions • Group Education Sessions • Community Outreach / Education Event • Media Airings (formerly Media Outreach Activity) • One optional category (not included on OIG Report) • Dissemination Activity

  6. 1) Simple Inquiry • A Simple Inquiry is brief contact initiated by a consumer and/or beneficiary that is resolved with minimal time and research or review. Simple Inquiries typically do not require individual demographic or private personal information such as a Medicare number or information about a medical condition. • SMART FACTS Manual, Appendix C

  7. 2) One-on-One Counseling Session • A meeting between SMP staff or volunteer and an individual beneficiary and/or his or her family for the purpose of discussing or gathering information about potential healthcare fraud, waste, or abuse. One-on-one counseling sessions may include beneficiary counseling, information gathering, or information sharing. • SMART FACTS Manual, Appendix C

  8. Simple Inquiry vs. One-on-One Counseling

  9. ‘Time spent on contact’

  10. SMART FACTS Demonstration • Simple Inquiries • Individual and batch entry • One-on-one Counseling • Individual and batch entry 12

  11. Questions? 13

  12. “Homework” for next week onwww.smpresource.org

  13. Next Steps 3 – Review Outreach & Education resources 1 – Schedule our next training session 2 – Schedule time for self-paced SMART FACTS Training 4 – Join next live session: Outreach & Education • For technical assistance, contact: Social Solutions: • E-mail: support@socialsolutions.com / Call: 1-866-732-3560 ext. 2 15

More Related