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
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
- Fraud, Waste, and Abuse Training (PDF)
- Training Q and A (PDF)
If you have questions about this training, email Keven Cable. He will forward your query to PerformCare's compliance officer.
General compliance overview
This training covers:
- 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
Medical record documentation
This training covers:
- Provider documentation overview.
- Medical records.
- Requirements.
- Common issues.
- Treatment plans and progress notes.
- Encounter forms.
- Resources.
Documents
Intensive Behavioral Health Services
IBHS prescriber training
October 9, 2020
Documents and training:
Important links:
- OMHSAS has a page dedicated to the IBHS transition. It includes answers to frequently asked questions from providers, as well as documentation from each of the trainings completed for providers. Learn more on the OMHSAS website.
- DHS has a webpage dedicated to COVID-19 that includes communications for providers. One document discussed at the meeting temporarily suspends some timeline requirements for providers and can be found on the DHS website.
- All forms for IBHS specific to PerformCare can be found on our IBHS forms page.
Provider profiling
Provider profiling training
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)
Documents
Community-based mental health services (CBMHS)
Documents
Family-based mental health services (FBMHS)
Documents
Mental health inpatient services (MHIP)
Documents
Mental health outpatient services (MHOP)
Documents
Mental health partial hospitalization program (MH-PHP)
Documents
Substance use (SU) services (inpatient/residential)
Documents
Substance use outpatient and partial hospitalization services
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
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
Relapse prevention planning
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