Tiffany Harbour holds a bachelors degree in Health Services Administration. Her experience as an executive director and legal advocate offered her the knowledge and experience to understand complicated regulation. Tiffany worked with the Medicaid billing system while employed at a mental health practice. She will help others learn how to navigate OMB and Missouri Medicaid. Tiffany is VP of Development at Sand Dollar Systems.
Kansas Behavioral Science Regulatory Board
Provider Number 20-001
Instructors: Tiffany Harbour
This offering surveys the definition concepts and regulatory issues related to Medicaid as it applies to social and mental health services within the State of Missouri. Attendees will examine the relationships of the various mental health professions to diagnosis, billing codes, and operational and documentary requirements. A sample Progress Note will be provided for the review of attendees. This offering is a survey and is not intended to fully prepare a practitioner for full participation in Missouri Medicaid.
3 hours
Date: March 20, 2020 (1pm – 4:30pm)
TOPICS: SERVICE DELIVERY, DEFINITION, LOGISTICS, REGULATION
Time: 1:15 – 2:30
Instructor: Tiffany Harbour
LEARNING OBJECTIVES:
1. The participant will define CPT Code.
2. Participants will define the DSM and discuss its relationship to CPT Codes.
3. Participants will define a unit of service for family therapy, individual therapy, group therapy, psychological testing, psychosocial assessment, and psychiatric testing.
4. Participants will match professionals with the codes for services that they may provide under various payer requirements.
5. Participants will define a billable hour as determined Missouri HealthNet program.
6. Participants will define audits, audit standards, audit finding, audit resolution and restitution.
CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations
Break: 2:30 – 2:45
TOPICS: SERVICE DELIVERY, DEFINITION, LOGISTICS, REGULATION
Time: 2:45 – 4
Instructor: Tiffany Harbour
LEARNING OBJECTIVES:
1. The participant will describe service location and its impact on reimbursement.
2. Participants will define prevailing rate and discuss its determination by the Center for Medicaid and Medicare.
3. Participants will define carve outs and spend downs as applied to reimbursement requests.
4. Participants will define HIPAA and list three (3) confidentiality requirements.
5. Participants will review a Sample Progress Note and list at 5 required elements for submission.
- Participants will discuss the major components and list the 2 (two) major parts of Health Insurance Portability and Accountability Act (HIPPA).
CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations
4 – 4:30 QUIZ COMPLETION AND ADJOURN
Your license number must be included in the “additional notes” section at check out to ensure proper CEU credits for the completed class.
Location: Online via Zoom
The link will be sent out one week prior to the start of the course.
Sand Dollar Learning Systems reserves the right to cancel any seminar if 10 organizations and/or individuals without organizational affiliation are not registered 7 days prior to the beginning date of the seminar. In the event of said cancellation, fully registered participants will be scheduled into the next regularly occurring seminar offered by the Sand Dollar Learning Centers.
Certificates will be obtained after successful completion of the class quiz and course evaluation.
Sand Dollar Billing Services coming soon, be sure to ask your instructor for additional details.