SEACOAST YOUTH SERVICES, (SYS)

SEABROOK, NH

NIATx Initiative Start Date: 01/26/2012

Change Team Members:•Lynn Madden, NIATx Coach, APT Foundation•Vic Maloney, Executive Director, SYS•Barry Timmerman, Clinical Director, SYS•Bob Cashen, Collaborator, Direction Behavioral Health

Discover what we can bill for;Learn the CPT Codes for those services that we offer;Increase Service Provision Revenue;Utilize Credentialed Staff to their full potential;Become Medicaid Eligible;Develop an EMR and On-line Billing System;Develop an Adolescent Assessment Service for the

Lower Seacoast

Formed a Change Team; Became a Medicaid Provider; Became a Certified GAIN-I Site; Staff got NPI #s; Agency got NPI #; Staff got on CAQH; Had first Billing Episode with Medicaid; Instituted Office Alley Electronic Billing and completed training; Began Collaboration talks with Psychiatrist to develop Billing protocol with

Major Insurance Providers

We did our first GAIN Evaluation and got paid;We billed Medicaid and received payment;Despite the additional services we are now offering,

referral sources are slow to respond;For services we previously received no income for,

we are now receiving income through self-pay and third party billing- the number is small- one client for a GAIN evaluation and four family therapy sessions were billed;

We improved our physical plant with paint, new floors, new rugs and furniture

Increase Medicaid billing;Get credentialed staff on other insurance panels;Increase marketing efforts of our programs in the

region;Continue collaboration with Direction Behavioral

Health, specific to developing an EMR; Utilize Basis 24 as an outcome measurement tool;Train other staff in doing intakes and GAIN

evaluations

Increase of needed services for customer base;Became more professional in our physical plant and in

how we present ourselves to the customers;The tediousness and complexities of applying for

Medicaid eligibility and predicted re-application can be discouraging;

We are becoming less reliant on grant funding and placing ourselves in a position to survive continued major state funding cuts through the ability to do third party billing;

Hopefulness and renewed energy to continue our mission