Skip to Main content
For Assistance - 24 Hours a Day - 7 Days a Week: Please view our member contact information

PerformCare Presentations

PerformCare offers the following pre-recorded audio presentations to all of our network Providers. These presentations are intended to illustrate a variety of behavioral health topics and to simplify and explain PerformCare's processes and requirements.

Training topics:

Complaints and grievances

Member Complaint Process Training

Learn about PerformCare's process regarding a Member's right to file a complaint against PerformCare. (More info) (Less info)

This training covers:

  • The various levels associated with processing a Member's complaint against PerformCare.
  • The six rights within the complaint process to which Members are entitled.
  • The time frames associated with filing each level of a complaint against PerformCare.

Member Grievance Process Training

Learn about PerformCare's process regarding a Member's right to file a grievance against a PerformCare decision. (More info) (Less info)

This training covers:

  • The various levels associated with processing a Member grievance against a PerformCare decision.
  • The six rights within the grievance process to which Members are entitled.
  • The mandatory time frames associated with a Member filing each level of a grievance in order to receive continuation rights.

Provider Right to File a Complaint Process Training

Learn about PerformCare's process regarding a Provider's right to file a complaint. (More info) (Less info)

This training covers how to:

  • Define Provider complaints.
  • Explain three general guidelines PerformCare follows.
  • Delineate between the process of a Provider complaint against PerformCare and that of a Provider complaint against an in-network Provider.

Compliance and special investigation unit

Fraud, Waste and Abuse Training Overview

Presented live March 2015 | PowerPoint only
PerformCare's latest PowerPoint presentation about fraud, waste and abuse in health care. (More info) (Less info)

This training covers:

  • What is fraud and abuse?
  • What are the different types?
  • How to detect fraud and abuse
  • Laws, sanctions and penalties for violations
If you have questions about this training, email Keven Cable who will forward your query to PerformCare's Compliance Officer.

Provider profiling

Provider Profiling Training

Recorded November 2016 |18:57 minutes
Learn about the Provider profiling reports that PerformCare will use. (More info) (Less info)

This training covers:

  • The purpose of Provider profiling.
  • Improvements made to Provider profiling.
  • Provider profiling reports to be distributed.
  • The distribution review of Provider profiling reports.
  • Plans for Provider profiling.

Behavioral Health Rehabilitation Services (BHRS) Provider Profiling Report Presentation

Recorded January 2017 | 12:16 minutes
Learn about the Behavioral Health Rehabilitation Services Provider Profiling Report. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling.
  • A review of the Behavioral Health Rehabilitation Services Provider Profiling Report.

Community Based Mental Health Services Provider Profiling Report Presentation

Recorded January 2017 | 44:07 minutes
Learn about the Community Based Mental Health Services Provider Profiling Report. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling.
  • A review of the Community Based Mental Health Services Provider Profiling Report.

Mental Health Inpatient Services Provider Profiling Report Presentation

Recorded January 2017 | 44:07 minutes
Learn about the Mental Health Inpatient Provider Profiling Report. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling.
  • A review of the Mental Health Inpatient Provider Profiling Report.

Mental Health Outpatient Services Provider Profiling Report Presentation

Recorded January 2017 | 21:24 minutes
Learn about the Mental Health Outpatient Provider Profiling Report. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling.
  • A review of the Mental Health Outpatient Provider Profiling Report.

Mental Health Partial Hospitalization Program and Family-Based Mental Health Services Provider Profiling Webinar

Recorded May 2017 | 28:49 minutes
Learn about the Mental Health Partial Hospitalization Program (MH-PHP) and Family-Based Mental Health Services (FBMHS) Provider Profiling Reports and process. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling reports.
  • An overview of MH-PHP and FBMHS Provider Profiling reports.
  • Discussion of future plans for Provider Profiling.

Substance Use Services Provider Profiling Report Presentation

Recorded January 2017 | 22:50 minutes
Learn about the Substance Use Services Provider Profiling Report. (More info) (Less info)

This training covers:

  • The purpose of Provider Profiling.
  • A review of improvements made to Provider Profiling.
  • A review of the Substance Use Services Provider Profiling Report.

Provider relations

Summer Therapeutic Activities Program (STAP) Pre-Meeting

From March 10, 2017
Learn about the 2017 STAP available to PerformCare Members. (More info) (Less info)

This training covers:

  • STAP Providers for 2017.
  • Important dates.
  • Members for whom STAP is appropriate.
  • How to write recommendations.
View sessions and documents

Treatment record reviews and documentation

BHRS Treatment Plan Technical Assistance

Learn about key elements for BHRS treatment planning. (More info) (Less info)

This training covers:

  • How to write goals and objectives
  • How to document progress
  • How to address discharge planning
  • Crisis/safety planning

Crisis Planning for All Levels of Care

Recorded March 8, 2017 | 27:01 minutes
Learn about Crisis Planning for all levels of care. (More info) (Less info)

This training covers:

  • A general overview of Crisis Plans components as part of a standard Treatment Record Review.
  • A review of Crisis Planning Audit Tool Indicators.
  • A review of each indicator.

Quality Improvement Plans Training Overview

Recorded March 2015 | 59:22 minutes
If you are a PerformCare Provider of BHRS in any of the Cap-5 counties, you will learn about quality improvement plans. This training is only for Capital Area BHRS Providers. (More info) (Less info)

This training covers:

  • The philosophy behind continuous quality improvement plans
  • Explains: Plan, Do, Check, Act, Cycle
  • How to write a BHRS QIP
  • Final slide (#38) answers questions that were raised in the training

Relapse Prevention Planning

Recorded March 8, 2017 | 20:45 minutes
Learn about relapse prevention planning for all levels of care. (More info) (Less info)

This webinar covers:

  • A general overview of relapse prevention plan components and criteria as part of a standard treatment record review.
  • A review of relapse prevention planning audit tool indicators.

Treatment Record Review Changes 2017

Recorded August 2016 | 40:14 minutes
Learn about the changes and updates to the 2017 Treatment Record Review (TRR) tool that PerformCare will use for record reviews. (More info) (Less info)

This training covers:

  • A brief overview of the TRR process.
  • An update on activities related to the TRR.
  • A review of changes to specific TRR tools for 2017.

Quality improvement trainings

Administrative Appeal Submissions - updated February 2017

Learn the basics of filing administrative appeals with PerformCare. (More info) (Less info)

This training covers:

  • Required documentation for administrative appeals.
  • Approval, rejection and denial reasons.
  • How to receive payment for approved appeals.

Claim Submission Overview - updated September 2016

Recorded September 2016 | 30:33 minutes
Learn a general overview of claims submissions. (More info) (Less info)

This training covers:

  • Timely filing of claims.
  • Required fields on the CMS-1500 form.
  • Required fields on the UB-04 form.
  • Corrected claims submissions.

Note an important change in the PowerPoint presentation regarding corrected claims submissions.

Clinical Practice Guidelines Overview

Recorded February 2015 | 16:07 minutes
Learn about clinical practice guidelines. (More info) (Less info)

This training covers:

  • The purpose of clinical practice guidelines
  • How to use clinical practice guidelines
  • How to find clinical practice guidelines on the PerformCare website
  • The Provider Advisory Committee and the adoption of clinical practice guidelines

Critical Incident Report (CIR) and Restraint and Seclusion Monitoring Process Training

Recorded March 2, 2017 | 49:58 minutes
Learn about the new CIR and restraint and seclusion monitoring policies and process. (More info) (Less info)

This training covers:

  • An overview of CIR categories and the reporting process.
  • An introduction to the restraint and seclusion monitoring process and form.

Evaluator Quality Monitoring Program: Assessment of Best Practice Evaluations (BPE)

Recorded September 2015 | 59:43 minutes
Learn about the implementation of the October 1, 2015, PerformCare evaluator quality monitoring program which will assess Best Practice Evaluations BPE. (More info) (Less info)

The following will be covered in this webinar:

  • The background to this particular quality monitoring program
  • The evaluator orientation process
  • Introduction of QI-040 and the new quality monitoring process
  • Identify quality improvement expectations associated with the new process
  • Provide item specific training on the Provider performance measurement table

Member Satisfaction Survey Results Webinar

Recorded April 2017 | 22:28 minutes
Learn about PerformCare's annual Member Satisfaction Survey. (More info) (Less info)

This training covers:

  • The purpose of the Member Satisfaction Survey.
  • An overview of the survey design, data collection, and content.
  • A review of the 2016 results.
  • An overview of plans for the 2017 Member Satisfaction Survey.