PerformCare Presentations

• Defining fraud, waste, and abuse (FWA).
• An overview of Pennsylvania and federal compliance laws.
• Your role as a provider in identifying and reporting fraud and abuse.
• Examples of Medicaid fraud and abuse.
• The role of the Special Investigations Unit (SIU).
• Preventing, detecting, and reporting fraud and abuse.
• Elements of an effective compliance program.
• Health Insurance Portability and Accountability Act (HIPAA) and other privacy laws.

Documents

• An Overview of FWA, Compliance, and Privacy Laws (PDF)

This training covers:

• Provider documentation overview. 
• Medical records.
• Requirements. 
• Common issues. 
• Treatment plans and progress notes.
• Encounter forms.
• Resources.

Documents

• Provider Documentation Requirements and Recommendations (PDF)

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

• Provider Profiling Training Presentation (PDF)

Documents

• CBMHS Provider Profiling Report (PDF)

Documents

• FBMHS Provider Profiling Report (PDF)

Documents

• MHIP Services Provider Profiling Report (PDF)

Documents

• MHOP Services Provider Profiling Report (PDF)

Documents

• MH-PHP Provider Profiling Report (PDF)

Documents

• SU Services Provider Profiling Report (PDF)

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

• SU Outpatient and Partial Hospitalization Services Provider Profiling Training (mp4)
• SU Outpatient and Partial Hospitalization Services Provider Profiling Report Presentation (PDF)
• SU Outpatient and Partial Hospitalization Services Provider Profiling Report (PDF)

This training covers:

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

Documents

• BHRS treatment plan technical assistance (PDF)

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

• Crisis Planning for All Levels of Care Presentation (PDF)
• Crisis Planning for All Levels of Care Webinar (mp4)

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

• Relapse Prevention Planning Webinar (mp4)
• Relapse Prevention Planning Presentation (PDF)