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Empowerment Clinic Empowerment Clinic Where We Believe in the Human Where We Believe in the Human Family” Family”

Empowerment Clinic “ Where We Believe in the Human Family”

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Page 1: 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”

Page 2: Empowerment Clinic “ 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

Page 3: Empowerment Clinic “ Where We Believe in the Human Family”

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.

Page 4: Empowerment Clinic “ Where We Believe in the Human Family”

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”

Page 5: Empowerment Clinic “ Where We Believe in the Human Family”

Determining EligibilityDetermining Eligibility

Successes/ChallengesSuccesses/Challenges

Page 6: Empowerment Clinic “ Where We Believe in the Human Family”

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””

Page 7: Empowerment Clinic “ Where We Believe in the Human Family”

We Bill MedicaidWe Bill Medicaid

• United Behavioral Health

• ABRI

• Children’s Community Health Plan

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

Page 8: Empowerment Clinic “ Where We Believe in the Human Family”

Verifying CoverageVerifying Coverage

• Office Manager

A. Intake

B. Initial Phone Call

C. Client Information Sheetclientinfosheet.pdf

Page 9: Empowerment Clinic “ Where We Believe in the Human Family”

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

Page 10: Empowerment Clinic “ Where We Believe in the Human Family”

InvoicingInvoicing

• Electronic

• Community Health PlanA.cms1500.pdf

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

Page 11: Empowerment Clinic “ Where We Believe in the Human Family”

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

Page 12: Empowerment Clinic “ Where We Believe in the Human Family”

Rejection RateRejection Rate

Less than 10%Less than 10%