Name
PC02- Workshop - Ethical and Effective Clinical Documentation: Payor Standards and Value Based Care, 6.CEs
Date & Time
Wednesday, October 11, 2017, 9:00 AM - 4:30 PM
Description
Clinical documentation and recordkeeping requirements are often a burden for behavioral health care practitioners. The importance of clinical documentation is sometimes overlooked. Many behavioral health practitioners in private practice improperly maintain legally required adequate clinical records in order to avoid possibly having to disclose these confidential records at some later date if a patient requests them, or if the patient becomes involved in legal action and places his or her mental or physical state at issue of concern. Legally mandated clinical documentation and recordkeeping serve several important purposes, all of which are equally applicable to agency and private practice settings. We will discuss these topics, as well as ethical and effective clinical documentation, right patients, payor standards and value-based care.
Overall learning objectives:
- Employ strategies that balance between the need to maintain client privacy and confidentiality and the need to communicate with insurers, other treating professionals and larger health systems.
- Learn how to apply maintenance and security, electronic records, ethics, law and client file, data backups in your “live” practice.
- Understand clinical documentation and payer standards.
9am – 10:30am
Best Practices for Clinical Documentation in Private Practice, 1.50 CE
Lilliam Rodriguez, PhD
In this session, we will have an overview of the documentation standards and requirements for private practices and outpatient services according to payers and the Joint Commission. We will review the expectations of payers that will secure the highest reimbursements possible for the services provided.
Upon completion of this session, attendees will be able to:
- Identify the standards of care for the provision of clinical services.
- Review best practices standards for documentation.
- Discuss to integrate clinical documentation practices effectively.
- Discuss record keeping techniques and systems.
10:30am – 10:45am Morning Break
10:45am – 12:15pm
Client Matching: Acquiring Appropriate Clients for your Practice, 1.50 CE
Tiffany Tait, LCSW, CDWF
After this session, attendees will understand how to identify their practice market and brand to effectively impact referrals and the provision of clinical services. This session will help attendees understand how to set appropriate admission and exclusionary criteria to ensure they attract clients they can treat effectively. This session will also clarify payer guidelines with regards to client matching and admission criteria.
Upon completion of this session, attendees will be able to:
- Discuss ways to identify and market your brand.
- Gain an understanding of how your brand and marketing can generate appropriate referrals and admissions.
- Understand the importance of clear admission criteria.
- Clarify payer expectations for client matching and the admission process.
12:15pm – 1:15pm Lunch on your own
1:15pm – 2:45pm
Payer Standards and Guidelines for Outpatient Practices, 1.50 CE
Lilliam Rodriguez, PhD
This session will review the specific standards of payers for outpatient services and will provide attendees with clear guidelines of payer expectations for the provision of outpatient services. The session will help providers identify medical necessity criteria for outpatient levels of care. Attendees will gain a clear understanding of how payer guidelines impact clinical care and clinical operations.
Upon completion of this session, attendees will be able to:
- Understand the relevance of operating your outpatient services according to payer standards.
- Identify what the payer standards are for outpatient services.
- Apply techniques to integrate payer standards to daily practice operations and the provision of clinical services.
- Understand that payers are essential stakeholders in the provision of optimal clinical care.
2:45pm – 3:00pm Afternoon Break
3:00pm – 4:30pm
What the Shift Toward Value-Based Care Means for Outpatient Practices, 1.50 CE
Tiffany Tait, LCSW, CDWF
This session will clearly define the healthcare industry’s shift toward value-based services and how this shift is expected to directly and indirectly impact providers of behavioral healthcare outpatient services. We will also discuss how clinical care and clinical outcomes can be impacted by a value-based care model.
Upon completion of this session, attendees will be able to:
- Understand what value-based care means for clinical practice
- Gain an understanding of value-based reimbursements and incentives
- Apply how to effectively collect and analyze outcomes for value-based reimbursements
- Discuss the correlation between effective treatment, client participation and higher reimbursements
Sponsored by: Panacea Healthcare Services