Empowerment Clinic “ Where We Believe in the Human Family”

Empowerment ClinicEmpowerment Clinic

““Where We Believe in the Human Family”Where We Believe in the Human Family”

Our AgencyOur Agency

• Empowerment Clinic recently completed an Articles of Merger to become a certified, 501-C3 non-profit entity.

• ATODA,Mental Health & Life Improvement Services Clinic

• 6001 W. Center St. Suite 201, 203 & 99LL

Milwaukee, WI 53210

The Clinic today resembles a one-stop-shop for its clientele, collaborating with other agencies and resources within the community. Empowerment Clinic supplements its clinical interventions with anger management group sessions, Crisis Stabilization, Re-entry programming, Job Training/Placement, guidance/assistance with child support responsibilities; medical checkups; tobacco education; and parent support groups. The clinic as provides traditionally “hard services” such as transportation, clothing, haircuts, and meals for families.

Those We ServeThose We Serve

• Correctional Clients

• Tobacco Smokers

• General Public

• Disadvantaged

• Victims of Domestic Abuse (Women)

• Parents

• Families

• Children

• Adolescents

• Those searching for their own meaning of what is commonly referred to as “God”

Determining EligibilityDetermining Eligibility

Successes/ChallengesSuccesses/Challenges

We are part of the We are part of the

Milwaukee County Behavioral Health DivisionMilwaukee County Behavioral Health Division

““WIser Choice/NIATxWIser Choice/NIATxBilling InitiativeBilling Initiative””

We Bill MedicaidWe Bill Medicaid

• United Behavioral Health

• ABRI

• Children’s Community Health Plan

• Other payer sources – State, County, Local, EAP, Grants

Verifying CoverageVerifying Coverage

• Office Manager

A. Intake

B. Initial Phone Call

C. Client Information Sheetclientinfosheet.pdf

Prior AuthorizationPrior Authorization

• Electronically through portalA. https://www.forwardhealth.wi.gov/WIPortal

B. Initiated by Progress Notesa. Eighth note triggers PAb. braxtonM.pn8.3.8.11c. Dropbox/Clients folder/checked folderd. Therapist ChecklistTherapist Checklist.xls

InvoicingInvoicing

• Electronic

• Community Health PlanA.cms1500.pdf

B. Client Database SheetIncludes DSM IV diagnosis & Time of session

ChallengesChallenges

• Collection of co-pays

• Most common reasons for rejection

1. Unauthorized Servicea. Family Planning not reimbursable

2. Client no longer eligible for services

3. Duplicate Billing a. Date on Progress note incorrect

Rejection RateRejection Rate

Less than 10%Less than 10%