1 / 44

Medicaid/Education Reports

Medicaid/Education Reports. August 8-9, 2012. Address. Medicaid. Diagnosis Code. Diagnosis Code. Enter new billing. General. PDF . Page down. Random Moment Time Studies. Inappropriate Responses to RMTS Example 1: (Would not be coded as Medicaid allowable cost. Needs more detail.)

byrd
Download Presentation

Medicaid/Education Reports

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. Medicaid/Education Reports August 8-9, 2012

  2. Address Medicaid

  3. Diagnosis Code

  4. Diagnosis Code

  5. Enter new billing

  6. General

  7. PDF

  8. Page down

  9. Random Moment Time Studies

  10. Inappropriate Responses to RMTS • Example 1: (Would not be coded as Medicaid allowable cost. Needs more detail.) • Who was with you? • No one • 2. What were you doing? • Duty • Why were you doing this activity? • Assigned duty • 4. Is this activity regarding a Special Education student? • No

  11. Inappropriate Responses to RMTS • Example 2: • Who was with you? • A group of people charged with carrying out the work of an establishment • 2. What were you doing? • Inputting the last “moment in time” documentation instead of using my scheduled paperwork time to prepare for the two IEPs that I have next week. • Why were you doing this activity? • You keep sending me these “moments.” I am itinerant and MCS will not provide me with a computer, IPad, or other internet access to use during treatment blocks of time. Scheduled office time is the only time I can complete these “moments.” • 4. Is this activity regarding a Special Education student? • NA

  12. Preliminary Results of 1st RMTSFebruary - March Response rates – 85% required (3000 moments per “pool”) • 92.13% - Direct Services • 83.20% - Care Coordination • 78.60% - Personal Care • 89.47% - Admin

  13. PCG’s Time Study Team – “less than appropriate responses were submitted.” • A number of inappropriate responses were received by staff participating in the RMTS. • Two areas of concern: • Incomplete responses • Rudeness/Frustration

  14. Preliminary Results of 1st RMTSFebruary - March Service percentages responses • 49.16% - Direct Services • 4.24% - Care Coordination • 20.21% - Personal Care

  15. Cost Settlement Calculation Example – Neutral WV: Introduction to Medicaid Cost Based School Based Health Services

  16. https://easyrmts.pcgus.com/RMTSv2/LoginCheck.aspx

More Related