Microsoft Power Point - Training Manual 2009 V3
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MO HealthNet Health and Wellness Program
APS CareConnection® User’s Manual
© 2009 APS Healthcare, Inc.
0
INDEX P. 1 P. 2 P. 3 P. 4 P. 5 P. 6 P. 7 P. 8-18 P. 19-20 P. 21-34 P. 35-38 P. 39 P. 42-43 P. 44 P. 45
© 2009 APS Healthcare, Inc.
INDEX User Names and Passwords Connecting to CareConnection® Logging On HIPAA Provider Page My Cases Page – Provider Panel Updating POC’s (Plan of Care) and Monthly Reviews POC History Hyperlinks (Dashboard, Risk Level, Diagnosis, Patient Demographics) Additional Services (Messaging, Provider Information)Liaison Last Office Visit Sending Messages to Health Coach Provider Help Desk – Contact Information The Blue Task Bar
P. 46-47 P. 48-49 P. 50 P. 51 P. 52
Adding Additional Users Payment Codes Provider Assistance Contact Information Index Your Provider Liaison
1
MO HealthNet Health and Wellness Program USER NAMES AND PASSWORDS User Names
– They cannot be changed – Usually Last name, first initial (ie; SmithJ) – Facilities are all caps (ie; TMCWEST)
Passwords – Can be re-set by the Provider Help Desk – Must be re-set every 90 days (system will prompt)
© 2009 APS Healthcare, Inc.
2
MO HealthNet Health and Wellness Program Connecting to CareConnection Go to:
https://moccip.apshealthcare.com
Type In:User name and Password Press Submit Use Internet Explorer, no other Browser will work.
© 2009 APS Healthcare, Inc.
3
LOG ON
Enter User ID here
© 2009 APS Healthcare, Inc.
4
HIPAA
Click I agree
© 2009 APS Healthcare, Inc.
5
PROVIDER PAGE
Click on Provider Tab
Identify name and address •Demographics come from the state and must be changed by the state
© 2009 APS Healthcare, Inc.
6
MY CASES Filters will allow you to sort members as needed
Red indicates ineligible at this time and you will not be able to approve
Click on the Blue Name to enter into patient information page
© 2009 APS Healthcare, Inc.
Yes indicates patient has decided to opt-out of the program and you will not be able to approve..
7
UPDATE POC’S AND MONTHLY REVIEWS
Access each member – – –
My Cases page POC Pending tab Monthly review tab
POC’s – Once in a lifetime, the date will not change Monthly Review – date will change each month when it is updated.
© 2009 APS Healthcare, Inc.
8
INITIAL PLAN OF CARE APPROVAL Click on POC PENDING
OR CLICK ON BLUE NAME (HYPERLINK)
© 2009 APS Healthcare, Inc.
9
POC PENDING PAGE
Click on member name
© 2009 APS Healthcare, Inc.
10
POC UPDATE
Click Show
Or Click Expand All
© 2009 APS Healthcare, Inc.
11
POC UPDATE
Adding comments is similar to adding information to a patients chart
Add any comments needed
Click Update All
© 2009 APS Healthcare, Inc.
12
POC UPDATE
Approval will also populate on the “my cases” page. Make sure date is populated under date approved
© 2009 APS Healthcare, Inc.
13
MONTHLY REVIEW Click on Monthly Review Pending
© 2009 APS Healthcare, Inc.
14
MONTHLY REVIEW 1. Click on Monthly Review Pending
2. Click on name
© 2009 APS Healthcare, Inc.
15
Monthly Review
1. Click calendar and enter today’s date
© 2009 APS Healthcare, Inc.
2. Click submit review
16
Monthly Review completed
Date reviewed will be populated here
© 2009 APS Healthcare, Inc.
17
MY CASES SHOWS UPDATED POC AND UPDATED REVIEW
POC and Last Review will also be updated on the My Cases page
© 2009 APS Healthcare, Inc.
18
POC HISTORY
Click POC History
© 2009 APS Healthcare, Inc.
19
POC HISTORY
© 2009 APS Healthcare, Inc.
20
Let’s look at the other functions of the CareConnection® Tool
© 2009 APS Healthcare, Inc.
21
HYPERLINKS Dashboard – patient medication, diagnosis and procedure history can be found here Risk Level Diagnosis (last 12 months) Patient Demographics
© 2009 APS Healthcare, Inc.
22
DASHBOARD
Last 12 months of Medications, Diagnosis and Procedures claims data. Click more to expand data.
© 2009 APS Healthcare, Inc.
23
RISK LEVEL
Click on Risk Level
© 2009 APS Healthcare, Inc.
24
RISK LEVEL
Risk level can increase or decrease as time progresses based on claims data.
© 2009 APS Healthcare, Inc.
25
Diagnosis Hyperlink
Click on Diagnosis
© 2009 APS Healthcare, Inc.
26
Diagnosis Hyperlink
© 2009 APS Healthcare, Inc.
27
Patient Demographic Information
Click on more
© 2009 APS Healthcare, Inc.
28
PATIENT DEMOGRAPHICS
© 2009 APS Healthcare, Inc.
29
EDIT PARTICIPANT INFORMATION
To add/change phone number click edit participant info.
© 2009 APS Healthcare, Inc.
30
Change or Add Patient information
No phone number
Make sure patient has a last appt. date, if not add to patient information or let HC know.
No Health Coach assigned
© 2009 APS Healthcare, Inc.
31
CHANGING/ADDING PATIENT INFORMATION
Left click on scroll bar to see more information. You can change/add address, phone number, etc, here
© 2009 APS Healthcare, Inc.
32
CHANGING/ADDING PATIENT INFORMATION
Add phone number and contact the provider help desk if there is no Health Coach assigned.
© 2009 APS Healthcare, Inc.
33
Hyperlinks
Essentially, anytime you see a blue/purple “hyperlink” you will be able to get more information.
© 2009 APS Healthcare, Inc.
34
ADDITIONAL SERVICES Provide information from/to the Health Coach Provide an opportunity to add additional information on the patient Give provider information
© 2009 APS Healthcare, Inc.
35
PROVIDER INFORMATION
Click on Providers
© 2009 APS Healthcare, Inc.
36
PROVIDER INFORMATION
Here you can see all providers attached to this patient
© 2009 APS Healthcare, Inc.
37
ADDITIONAL SERVICES
Click on View All Episode Notes to see nurses notes
© 2009 APS Healthcare, Inc.
38
VIEW ALL NOTES Here you will see all contacts (touches) the call center has had with the patient
© 2009 APS Healthcare, Inc.
39
Some important information essential to the success of the partnership between you, your patient and the Health Coach.
© 2009 APS Healthcare, Inc.
40
LAST OFFICE VISIT Important to assure patient has been seen within the last 12 months To ensure that patient is being seen as needed based on current medical status Contact Health Coach via messaging to alert of Last Office Visit or lack of one Make sure current contact information is updated
© 2009 APS Healthcare, Inc.
41
SENDING MESSAGES TO HEALTH COACH
Click on the 2 white circles
© 2009 APS Healthcare, Inc.
42
SENDING MESSAGES TO THE HEALTHCOACH
Highlight the name
Send any information you would like the Health Coach to know including any address or phone number changes.
© 2009 APS Healthcare, Inc.
Click Send
43
Contact Us Provider Help Desk Telephone: 1-877-845-7469 Fax: 1-800-464-9184 e-mail: [email protected] • • • • •
© 2009 APS Healthcare, Inc.
Scheduling additional training Password reset Changes in staff Health Coach assignments CareConnection® issues
44
THE BLUE TASK BAR Quality Management Center – Not used at this time My Cases – A list of all patients on your panel. Search Member – You can search any member in the system with their ID and last name POC Pending – This tab will give you all your POC’s that need to be approved. Monthly Review Pending - This tab will give you all your monthly reviews needing updates My InBox – Any messages from the Health Coach can be received here Manage Users – You can add users under each user ID here.
© 2009 APS Healthcare, Inc.
45
ADD USERS
© 2009 APS Healthcare, Inc.
46
ADD USERS
© 2009 APS Healthcare, Inc.
47
Pay For Participation Independent Clinics, CMHCs, Rural Health Clinics *POC Initial Approval CPT: 99090 Amt: $50.00 When: 1 x patient’s lifetime *Monthly Review CPT: 99091 Amt: $25.00 When: Every calendar month after POC initial approval *Reference the November, 2008 Division of Medical Services Provider Bulletin for additional information
© 2009 APS Healthcare, Inc.
48
Pay For Participation Federally Qualified Health Centers *POC Initial Approval CPT: 99404 Amt: $51.55 When: 1 x patient’s lifetime *Monthly Review CPT: 99402 Amt: $25.78 When: Every calendar month after POC initial approval *Reference the November, 2008 Division of Medical Services Provider Bulletin for additional information © 2009 APS Healthcare, Inc.
49
Provider Assistance Webinars Tuesday 11:00 am – 12:00 pm Thursday 2:00 pm – 3:00 pm Phone: Dial in: 888-242-1836 » Code: 1212538 Webinar: https://www.teleconference.att.com/servlet/AWMlogin » Meeting Number: 8882421836 » Code: 1212538
Materials CareConnection® Training Manual Program Billing Manual MO HealthNet Provider Bulletins
© 2009 APS Healthcare, Inc.
50
INDEX POC – Plan of Care - Nursing based, educational care plan; not a treatment plan Initial POC is completed 1X only then monthly reviews will follow Monthly reviews are based on calendar month State mandates patients be seen at least every 12 months
© 2009 APS Healthcare, Inc.
51
CONTACT INFORMATION Your Provider Liaison is – Carol Tsiames – [email protected] – 913-515-3840
© 2009 APS Healthcare, Inc.
52
APS CareConnection® User’s Manual
© 2009 APS Healthcare, Inc.
0
INDEX P. 1 P. 2 P. 3 P. 4 P. 5 P. 6 P. 7 P. 8-18 P. 19-20 P. 21-34 P. 35-38 P. 39 P. 42-43 P. 44 P. 45
© 2009 APS Healthcare, Inc.
INDEX User Names and Passwords Connecting to CareConnection® Logging On HIPAA Provider Page My Cases Page – Provider Panel Updating POC’s (Plan of Care) and Monthly Reviews POC History Hyperlinks (Dashboard, Risk Level, Diagnosis, Patient Demographics) Additional Services (Messaging, Provider Information)Liaison Last Office Visit Sending Messages to Health Coach Provider Help Desk – Contact Information The Blue Task Bar
P. 46-47 P. 48-49 P. 50 P. 51 P. 52
Adding Additional Users Payment Codes Provider Assistance Contact Information Index Your Provider Liaison
1
MO HealthNet Health and Wellness Program USER NAMES AND PASSWORDS User Names
– They cannot be changed – Usually Last name, first initial (ie; SmithJ) – Facilities are all caps (ie; TMCWEST)
Passwords – Can be re-set by the Provider Help Desk – Must be re-set every 90 days (system will prompt)
© 2009 APS Healthcare, Inc.
2
MO HealthNet Health and Wellness Program Connecting to CareConnection Go to:
https://moccip.apshealthcare.com
Type In:User name and Password Press Submit Use Internet Explorer, no other Browser will work.
© 2009 APS Healthcare, Inc.
3
LOG ON
Enter User ID here
© 2009 APS Healthcare, Inc.
4
HIPAA
Click I agree
© 2009 APS Healthcare, Inc.
5
PROVIDER PAGE
Click on Provider Tab
Identify name and address •Demographics come from the state and must be changed by the state
© 2009 APS Healthcare, Inc.
6
MY CASES Filters will allow you to sort members as needed
Red indicates ineligible at this time and you will not be able to approve
Click on the Blue Name to enter into patient information page
© 2009 APS Healthcare, Inc.
Yes indicates patient has decided to opt-out of the program and you will not be able to approve..
7
UPDATE POC’S AND MONTHLY REVIEWS
Access each member – – –
My Cases page POC Pending tab Monthly review tab
POC’s – Once in a lifetime, the date will not change Monthly Review – date will change each month when it is updated.
© 2009 APS Healthcare, Inc.
8
INITIAL PLAN OF CARE APPROVAL Click on POC PENDING
OR CLICK ON BLUE NAME (HYPERLINK)
© 2009 APS Healthcare, Inc.
9
POC PENDING PAGE
Click on member name
© 2009 APS Healthcare, Inc.
10
POC UPDATE
Click Show
Or Click Expand All
© 2009 APS Healthcare, Inc.
11
POC UPDATE
Adding comments is similar to adding information to a patients chart
Add any comments needed
Click Update All
© 2009 APS Healthcare, Inc.
12
POC UPDATE
Approval will also populate on the “my cases” page. Make sure date is populated under date approved
© 2009 APS Healthcare, Inc.
13
MONTHLY REVIEW Click on Monthly Review Pending
© 2009 APS Healthcare, Inc.
14
MONTHLY REVIEW 1. Click on Monthly Review Pending
2. Click on name
© 2009 APS Healthcare, Inc.
15
Monthly Review
1. Click calendar and enter today’s date
© 2009 APS Healthcare, Inc.
2. Click submit review
16
Monthly Review completed
Date reviewed will be populated here
© 2009 APS Healthcare, Inc.
17
MY CASES SHOWS UPDATED POC AND UPDATED REVIEW
POC and Last Review will also be updated on the My Cases page
© 2009 APS Healthcare, Inc.
18
POC HISTORY
Click POC History
© 2009 APS Healthcare, Inc.
19
POC HISTORY
© 2009 APS Healthcare, Inc.
20
Let’s look at the other functions of the CareConnection® Tool
© 2009 APS Healthcare, Inc.
21
HYPERLINKS Dashboard – patient medication, diagnosis and procedure history can be found here Risk Level Diagnosis (last 12 months) Patient Demographics
© 2009 APS Healthcare, Inc.
22
DASHBOARD
Last 12 months of Medications, Diagnosis and Procedures claims data. Click more to expand data.
© 2009 APS Healthcare, Inc.
23
RISK LEVEL
Click on Risk Level
© 2009 APS Healthcare, Inc.
24
RISK LEVEL
Risk level can increase or decrease as time progresses based on claims data.
© 2009 APS Healthcare, Inc.
25
Diagnosis Hyperlink
Click on Diagnosis
© 2009 APS Healthcare, Inc.
26
Diagnosis Hyperlink
© 2009 APS Healthcare, Inc.
27
Patient Demographic Information
Click on more
© 2009 APS Healthcare, Inc.
28
PATIENT DEMOGRAPHICS
© 2009 APS Healthcare, Inc.
29
EDIT PARTICIPANT INFORMATION
To add/change phone number click edit participant info.
© 2009 APS Healthcare, Inc.
30
Change or Add Patient information
No phone number
Make sure patient has a last appt. date, if not add to patient information or let HC know.
No Health Coach assigned
© 2009 APS Healthcare, Inc.
31
CHANGING/ADDING PATIENT INFORMATION
Left click on scroll bar to see more information. You can change/add address, phone number, etc, here
© 2009 APS Healthcare, Inc.
32
CHANGING/ADDING PATIENT INFORMATION
Add phone number and contact the provider help desk if there is no Health Coach assigned.
© 2009 APS Healthcare, Inc.
33
Hyperlinks
Essentially, anytime you see a blue/purple “hyperlink” you will be able to get more information.
© 2009 APS Healthcare, Inc.
34
ADDITIONAL SERVICES Provide information from/to the Health Coach Provide an opportunity to add additional information on the patient Give provider information
© 2009 APS Healthcare, Inc.
35
PROVIDER INFORMATION
Click on Providers
© 2009 APS Healthcare, Inc.
36
PROVIDER INFORMATION
Here you can see all providers attached to this patient
© 2009 APS Healthcare, Inc.
37
ADDITIONAL SERVICES
Click on View All Episode Notes to see nurses notes
© 2009 APS Healthcare, Inc.
38
VIEW ALL NOTES Here you will see all contacts (touches) the call center has had with the patient
© 2009 APS Healthcare, Inc.
39
Some important information essential to the success of the partnership between you, your patient and the Health Coach.
© 2009 APS Healthcare, Inc.
40
LAST OFFICE VISIT Important to assure patient has been seen within the last 12 months To ensure that patient is being seen as needed based on current medical status Contact Health Coach via messaging to alert of Last Office Visit or lack of one Make sure current contact information is updated
© 2009 APS Healthcare, Inc.
41
SENDING MESSAGES TO HEALTH COACH
Click on the 2 white circles
© 2009 APS Healthcare, Inc.
42
SENDING MESSAGES TO THE HEALTHCOACH
Highlight the name
Send any information you would like the Health Coach to know including any address or phone number changes.
© 2009 APS Healthcare, Inc.
Click Send
43
Contact Us Provider Help Desk Telephone: 1-877-845-7469 Fax: 1-800-464-9184 e-mail: [email protected] • • • • •
© 2009 APS Healthcare, Inc.
Scheduling additional training Password reset Changes in staff Health Coach assignments CareConnection® issues
44
THE BLUE TASK BAR Quality Management Center – Not used at this time My Cases – A list of all patients on your panel. Search Member – You can search any member in the system with their ID and last name POC Pending – This tab will give you all your POC’s that need to be approved. Monthly Review Pending - This tab will give you all your monthly reviews needing updates My InBox – Any messages from the Health Coach can be received here Manage Users – You can add users under each user ID here.
© 2009 APS Healthcare, Inc.
45
ADD USERS
© 2009 APS Healthcare, Inc.
46
ADD USERS
© 2009 APS Healthcare, Inc.
47
Pay For Participation Independent Clinics, CMHCs, Rural Health Clinics *POC Initial Approval CPT: 99090 Amt: $50.00 When: 1 x patient’s lifetime *Monthly Review CPT: 99091 Amt: $25.00 When: Every calendar month after POC initial approval *Reference the November, 2008 Division of Medical Services Provider Bulletin for additional information
© 2009 APS Healthcare, Inc.
48
Pay For Participation Federally Qualified Health Centers *POC Initial Approval CPT: 99404 Amt: $51.55 When: 1 x patient’s lifetime *Monthly Review CPT: 99402 Amt: $25.78 When: Every calendar month after POC initial approval *Reference the November, 2008 Division of Medical Services Provider Bulletin for additional information © 2009 APS Healthcare, Inc.
49
Provider Assistance Webinars Tuesday 11:00 am – 12:00 pm Thursday 2:00 pm – 3:00 pm Phone: Dial in: 888-242-1836 » Code: 1212538 Webinar: https://www.teleconference.att.com/servlet/AWMlogin » Meeting Number: 8882421836 » Code: 1212538
Materials CareConnection® Training Manual Program Billing Manual MO HealthNet Provider Bulletins
© 2009 APS Healthcare, Inc.
50
INDEX POC – Plan of Care - Nursing based, educational care plan; not a treatment plan Initial POC is completed 1X only then monthly reviews will follow Monthly reviews are based on calendar month State mandates patients be seen at least every 12 months
© 2009 APS Healthcare, Inc.
51
CONTACT INFORMATION Your Provider Liaison is – Carol Tsiames – [email protected] – 913-515-3840
© 2009 APS Healthcare, Inc.
52
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