let s make a deal
Download
Skip this Video
Download Presentation
Let’s Make A Deal

Loading in 2 Seconds...

play fullscreen
1 / 12

Let’s Make A Deal - PowerPoint PPT Presentation


  • 104 Views
  • Uploaded on

Let’s Make A Deal. Milwaukee County Behavioral Health Division Milwaukee WIser Choice November 2010 – July 2011. The Convener Team. David Moore - Coach Janet Fleege – WIser Choice Project Director/Convener WIser Choice Providers: ARCW -Benedict Center

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Let’s Make A Deal' - long


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
let s make a deal

Let’s Make A Deal

Milwaukee County Behavioral Health Division

Milwaukee WIser Choice

November 2010 – July 2011

the convener team
The Convener Team
  • David Moore - Coach
  • Janet Fleege – WIser Choice Project Director/Convener
  • WIser Choice Providers:
    • ARCW -Benedict Center
    • Brighter Days -Empowerment Clinic
    • Guest House -Harambee/IMANI
    • Horizon, Inc. -Meta House
    • Recovery Network -United Community Center
project description
Project Description
  • This collaborative supported the work of preparing 10 providers for healthcare reform in 2014
    • Medicaid track (5)
      • Aim was to become Medicaid certified
    • Increasing billing revenues track (4)
      • Aim was to increase already existing revenue sources
    • One wasn’t able to complete (1)
activities
Activities
  • 2 Face to Face meetings
    • Outside of Kick Off meeting
    • Coach was able to attend due to close geographic proximity
  • Project conference calls
    • 2 tracks, focused on unique needs of each group
    • Ended with group call to support the work accomplished by each provider and to share lessons learned
activities cont
Activities cont.
  • One-on-One Coaching Calls
    • Providers benefited from individually identified support from coach and/or convener
    • Change project charter forms used to monitor progress and keep on track
  • Focused training provided
    • Medicaid 101
      • An introduction to CPT & ICD-9 codes
      • Medicaid modifiers and fee schedules
      • Overview of Forward Health portal
      • Claims processing
activities cont1
Activities cont.
  • One-on-one meetings with Agency Directors (when requested)
    • Help ‘ask’ the right questions to further project progress
      • Remove internal agency barriers
    • Support, encourage, validate work being done on behalf of fee for service initiative
medicaid track
Medicaid Track
  • Medicaid Track
    • Start from beginning
      • Searching to see if they had an NPI #, obtain one if they didn’t
    • 4 of 5 obtained Medicaid certification
      • One agency had several staff enroll in college to pursue degrees in Social Work/Human Services
    • One project experienced a 62% increase in billable revenue
increasing billing revenues track
Increasing Billing Revenues Track
  • Of the 4 providers
    • All had at least 2 contracts outside of Medicaid
    • All in various stages of billing
      • Searching to see if they had an NPI #, obtain one if they didn’t
    • Created new internal audit sheet to capture and monitor collection
lessons learned
Lessons Learned
  • As a convener
    • Strong relationships with providers
    • Much to learn about medicaid certification and billing as well as 3rd party revenue sources
  • Providers weren’t aware of their own bottom line
    • Heavy emphasis on county funding
    • Need to decrease dependency of county funding and increase 3rd party billing
    • More hopeful
      • We can do this!
lessons learned cont
Lessons Learned, cont.
  • Strong group of providers who can mentor others
    • Strong value in working with other providers and learning from each other, to encourage other providers
      • Cross pollination
      • There is no competition
      • The need will always be there, but we may not be
      • Not necessary to recreate the wheel
lessons learned cont1
Lessons Learned, cont.
  • Existing relationships needed strengthening
    • Providers did not have strong relationships w/contractors
  • Marketing, Marketing, Marketing
    • We’ve been around, people know about us
      • Changing world, changing climate, changing field
        • Need to respond to change
no longer one door
No longer one door!

Door 1-WIser Choice/County

Door 2-Medicaid

Door 3-UBH

Door 4-Icare

> # of Doors – greater choice

ad