Let’s Make A Deal Milwaukee County Behavioral Health Division Milwaukee WIser Choice November 2010...
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Transcript of Let’s Make A Deal Milwaukee County Behavioral Health Division Milwaukee WIser Choice November 2010...
![Page 1: Let’s Make A Deal Milwaukee County Behavioral Health Division Milwaukee WIser Choice November 2010 – July 2011.](https://reader036.fdocuments.in/reader036/viewer/2022081516/56649c735503460f94926341/html5/thumbnails/1.jpg)
Let’s Make A Deal
Milwaukee County Behavioral Health Division
Milwaukee WIser Choice
November 2010 – July 2011
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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
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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)
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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
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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
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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
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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
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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
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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!
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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
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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
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No longer one door!
• Door 1-WIser Choice/County• Door 2-Medicaid• Door 3-UBH• Door 4-Icare
• > # of Doors – greater choice