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PerformCare Presentations

PerformCare offers the following presentations to all 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:

Compliance and special investigation unit

Fraud, waste, and abuse

March 2015

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.

Documents

If you have questions about this training, email Keven Cable. He will forward your query to PerformCare's compliance officer.

Provider profiling

Provider profiling training

February 2019

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.

Documents

Behavioral health rehabilitation services (BHRS)

February 2019

Documents

Community-based mental health services (CBMHS)

February 2019

Documents

Family-based mental health services (FBMHS)

February 2019

Documents

Mental health inpatient services (MHIP)

February 2019

Documents

Mental health outpatient services (MHOP)

February 2019

Documents

Mental health partial hospitalization program (MH-PHP)

February 2019

Documents

Substance use (SU) services (inpatient/residential)

February 2019

Documents

Substance use outpatient and partial hospitalization services

February 2019

This training covers:

  • The purpose of provider profiling.
  • A review of the improvements made to provider profiling reports.
  • An overview of the SU outpatient and partial hospitalization services provider profiling report.

Documents

Treatment record reviews (TRR)

BHRS treatment plan

This training covers:

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

Documents

Crisis planning for all levels of care

March 8, 2017 | 27:01 minutes

This training covers:

  • A general overview of crisis plans components as part of a standard TRR.
  • A review of crisis planning audit tool indicators.
  • A review of each indicator.

Documents

QI plans training

March 2015 | 59:22 minutes

This training is only for Capital Area BHRS providers.

This training covers:

  • The philosophy behind continuous QI plans
  • Explains: Plan, do, check, act, cycle
  • How to write a BHRS QIP
  • Final slide (#38) answers questions that were raised in the training

Documents

Relapse prevention planning

March 8, 2017 | 20:45 minutes

This training covers:

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

Documents

QI trainings

Administrative and treatment quality concerns

This training covers:

  • The reason for changes to the performance monitoring (from provider performance to administrative and treatment quality concerns).
  • The administrative and treatment quality concern indicators.
  • How and when providers will receive administrative and treatment quality concerns reports.
  • The expectations for follow up, if needed.

Documents

Claim submission overview

September 2016 | 30:33 minutes

This training covers:

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

Documents

Clinical practice guidelines

February 2015 | 16:07 minutes

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

Documents

Evaluator quality monitoring program: Assessment of best practice evaluations (BPE)

September 2015 | 59:43 minutes

The training covers:

  • 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.

Documents

Member satisfaction survey results webinar

November 2018 | 23:48 minutes

This training covers:

  • The purpose of the member satisfaction survey.
  • An overview of the survey design, data collection, and content.
  • A review of the 2018 results.
  • An overview of plans for the 2019 member satisfaction survey.

Documents