Substance Abuse Service Provider Manual - Encompass
Contents
1. Vie onsumers that are authorized for services by this provider E TIME OUT IN 58 Minutes 19 Seconds nternet F 10 e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button i Consumer List Microsoft Internet Explorer File Edit View Favorites Tools Help TRAINING MODE En ompas washtenaw community health organization Back Home Logout Help E messages Consumer List Please type in consumer s last name Consumer Last Name Consumer First Hame AKA or Other Information and first initial and press SEARCH to F locate the consumer You may wish to ote use partial name if you are not sure i i i about the spelling Consumer ID Social Security Ho Birth Date mmddyy If you cannot find the consumer by name you may type in any other STS Case available data to locate the o SEARCH CONSUME a TIME OUT IN 59 Minutes 46 Seconds Internet Z e Click on the Screening and Assessment link to the right of the Consumer s information Select a Consumer Microsoft Internet Explorer p Ioj x e TRAINING MODE Wwashtenaw community health organization Back Home Logout Help E messages Select a Consumer Please type in consumer s last name and first initial and press SEARCH to Consumer Last Name Consumer Fit Name AKA or Other Information locate the2. L e Click the Select link to the right of the Consumer s information Z Select a Consumer Microsoft Internet Sxplorer gt oO x fo TRAINING MODE En ompas washtenaw community health amp ganization Back Home Logout Help amp Smessages Select a Consumer Please type in consumer s last name and first initial and press SEARCH to locate the consumer You may wish to use partial name if you are not sure about the spelling WCHO Consumer ID Social Secu No If you cannot find the consumer by name you may type in any other available data to locate the SEARCH consumer 1 Consumers Last Name FirstName WCHO Consumer ID CSTS Case Social Security Birth Date Doe John 11 123 45 6789 01 01 2001 Consumer Last Name Ronsumer First Name AKA or Other Information El TIME OUT IN 58 Minutes 46 Seconds g Internet A e Click on the Discharge link to the right of the Consumer s information Z SARF List Microsoft Internet Explorer File Edit View Favorites Tools Help Wo TRAINING MODE En ompas washtenaw community health organization Back Home Logout Help messages SARF List Consumer Name Consumer IB SSN Case Doe John 11 123 45 6789 Date of Birth Gender 01 01 2001 Male Address Home Phone 1234 main 248 456 5289 southfield MI 12345 1 Matched Referral Form Completed Admission Provider Date By Date 09 01 2003 Test Staff PCE Test SA Pro
3. Service Provider User Manual Prepared by PCE Systems 29592 Northwestern Highway Southfield MI 48334 WASHTENAW COMMUNNITY HEALTH ORGANIZATION Administrative Website Manual Table of Contents Section 1 Logging Into and Out of the System ccccssssscsscccccccccssssssscesseesssees 4 Iso Some Motie SV SCM e cy Ace a adak een nh iain sae a als la kad 4 What le Porset My Password 2 secre bi aa tia tance ine lal ben Mall inet 5 Loss me Out Ol the 35 SCM limana azei che A acaba daniacutaerciebudasrageieceasbsdaotss 7 Section 2 Navigation ButtOns vsrvs00sss00590000s0050050100000000200000000008808888600095009080000500000008008988 8 Section 3 Consumer Information ccccccsccccccccccssssssssssssssssssssssssscccccccsssssssssssseeeees 9 View Consumer Deme e rape Senem leia eds dalde ane race cantata 9 View ScreeningandAssessmentRecords 10 Section 4 Substance Abuse Referral FOrmm cccccccssssssssssccccccccssssscsccssssseees 13 View Substance Abuse ReferralForm SARP 13 SUDIMIt SUDS lance ADUSE FOM S analar ten acer eh tet lana aka Hel ae aa eter ee ak taheaeeaaree 15 Submit Substance Abuse DischargeForms 17 Section 5 Authorizations and Cla Ms cccccccccccsssssssssssssssssssssssssssccccccssssssssssssssssees 19 VIEW AULNOLZAUONS yakasi e allam ae allam ee
4. Help Wo TRAINING MODE En ompas washtenaw community hgalth organization Back Home Logout Hely eimessages View Screening Assessment Q Consumer Name onsumer SSN DOB Gender Doe John 11 123 45 6789 01 01 2001 Male VCHO Staff Standard Statement Click here to view the Caller s Rights Telephone Script Confidentiality Right Emergency z i e to Second Opinion Request HIY risks STD Pregnancy Information 3 Financial amp Insurance amp Insurance Recipient Rights Brochure 4 Guardian amp Famil C Check here if the above information has been discussed provided to the caller 5 Residential Education MH SA client only amp Employment 6 Clinical Date of Call Time of Call 7 Developmental 08 18 2003 1 58 PM Disablilities Consumer Information 8 Developmental Delay Last Name First Name MI 9 Mental Health Pe gaa en Doe John hal 10 Ce pression adios Anxiety 1234 main Bi TIMESSQT IN 59 Minuto 41 Seconds g Internet Ai 12 Substance Abuse Referral Form View Substance Abuse Referral Form SARF e Click on View Substance Abuse Referral Forms SARF Section Service Provider Menu Microsoft Internet Explorer a loj x File Edit View Favorites Tool Help fo TRAINING MODE En ompas washtenaw community health organization Home Logout Help amp messages Service Provider Menu SA Provider of Michigan Chang
5. Logout Click on the logout button to exit the system Help Click on the Help button to access this User Manual online Use the Lookup button to access database for Providers Consumers and Staff in accordance with the screens Section Consumer Information View Consumer Demographics e Click on View Consumers i Service Provider Menu Microsol Internet Explorer loj x e TRAINING MODE washtenaw community health organization Home Logout Help l JEessages Service Provider Menu View Consumers Lalenin that are authorized for services by this provider Change Password Kl TIME OUT IN 59 Minutes 12 Seconds 2 Internet A e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button Consumer List Microsoft Internet Explorer yg 0 x File Edit View Favorites Tools Help M0 TRAINING MODE washtenaw community health organization Back Home Logout Help E messages Consumer List Flease type in consumer s last name eee Consumer Last Name Consumer First Hame AKA or Other Information and first initial and press SEARCH to i locate the consumer You may wish to doe Use partial name if you are not sure about the spelling Consumer ID Social Security No Girth Date mmddyy If you cannot find the consumer by mame you may type in any other CSTS Cas
6. to the approver when ready izl TIME OUT IN 56 Minutes 33 Seconds A Internet E e Any existing batches that have not been sent to WCHO for approval will be displayed 44 Invoice Batch List Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE En ompas Washtenaw community health organization Back Home l Logout l Help E messages Invoice Batch List Invoice Batches Ready Batch Number Batch User Batch Date Claims Wiz iler Allowed 000006 svcprysa 09 27 2003 1 110 00 Work With Batch Send for Approval 0 00 000005 svcprvsa 09 27 2003 1 130 0 Work With Batch J Send for Approval 0 00 Back Home TIME OUT IN 59 Minutes 49 Seconds i Internet e To view the claims that are included in the batch click on the Work with Batch link e A listing of all the claims included in the batch will be displayed Use the Change or Delete links to edit or remove the claims Back Home Logout Help eimessages Batch Claims List 000005 Batch Number Batch Status Batch User Total Billed Total Paid OoOoo005 Ready Ssvcormsa 130 00 00 1 Claims Claim Consumer Total i S eee Provider Name Service Date Range Billed Likh yp Consumer ID Allowed smi aii nia mm Claim HEF A 000032 TEST SA PROVIDER DOE JOHN 06 01 2003 130 00 Change Delete 1500 OF MICHIGAN 1235456789 06 30 2003 00 View 26 e Once the claims have been reviewed click o
7. 001265 John Doe 06 01 2003 06 30 2003 Authorized Wew Auth Add HOFA 1500 Add UB 92 200300001266 John Doe 09 01 2003 09 30 2003 Authorized View Auth Add HOFA 1500 Add UB 92 0 Claims Claim Type Claim Number Canel Auth O Service Date Range Total Charges Status Client Number Allowed 19 Submit Claims e Click on View Authorized Services and Enter Claims i Service Provider Menu Microsoft Internet Explorer B x File Edit View Favorites Tools Help e TRAINING MODE En ompas washtenaw community health organization Home l Logout Help Emessages Service Provider Menu View Authorized Services and Enter Claims Clams MyPage Claim Batch Review and Send for Approval This option will list batches in the data entry stage where you can gt review the batches and send the batch to the approver when ready al TIME OUT IN 56 Minutes 33 Seconds A Internet E e A list of all authorizations is displayed E Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE En ompass washtenaw community health organization i Back Home Logout l Help Bmessages Claim Entry Provider Address E e Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 345 734 2223 5656 734 2223 7878 A Gi MUL a 2 Authorizations Authorization Consumer Name Service Date Range Status 200300001265 John Doe
8. 06 01 2003 06 30 2003 Authorized View Auth Addi OO Add B 92 200300001266 John Doe 09 01 2003 09 30 2003 Authorized Wiew Authi Add HCFA 1500 Add UB 92 0 Claims Claim Type Claim Number Status Client Number Total Charges Consumer Auth Allowed we Date Range To Add a HCFA 1500 e Click on the Add HFCA 1500 link to the right of the authorization you wish to submit a claim against 20 e Use the drop down menu to select the batch that this claim will belong to If you do not wish to include this claim is a batch at this time select PEND CLAIM from the drop down menu 2 Add HCFA 1500 Claim Form Microsoft Internet Explo er Ele Edt view Favortes Teos Hep AOOO I Wo TRAINING MODE En mpas washtenaw commyfnity health organization Back Home Logo messages Add HCFA 1500 Claim Form Invoice Batch NEW BATCH gt NEW BATCH PEND CLAIM 4a_Insured s 1D Number hd B meme TIME OUT IN 59 Minutes 39 Seconds e Enter the received date 2 Add HCFA 1500 Claim Form Microsoft Internet Explorer File Edit View Favorites Tools Help Wo TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help messages Add HCFA 1500 Claim Form Invoice Batch NEW BATCH Received Date 9 30 2003 4a_iInsured s 1D Number hd Internet A TIME OUT IN 57 Minutes 55 Seconds e Scroll to the bot
9. 56789 ves C No 0 bo 34 e of Physician or Supplier 32 Name and address of Facility 33 Billing Name and Address TEST SA PROVIDER OF MICHI TEST SA PROVIDER OF MICHI 12345 SECOND 5A STREET 12345 SECOND SA STREET ANN ARBOR MI ANN ARBOR MI 734 2223 5656 PIN GRP Comments SAVE CANCEL TIME OUT IN 49 Minutes 22 Seconds Internet A e Once all of the claim information is entered click the SAVE button e The Claim is now displayed If you indicated that this claim is part of a new batch the system will assign a batch number to the claim Ge TRAINING MODE 7 e washtenaw community health organization Back Home Logout Help amp messages Claim Entry Provider Address Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 345 734 2223 5656 734 2223 7878 ste di oi 2 Authorizations Service Date Range Status O 06 01 2003 06 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 09 01 2003 09 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 1 Claims Service Date Range HCFA 1500 000032 DOE JOHN 200300001265 06 01 2003 130 00 Change Delete 000005 Ready 06 30 2003 00 View svcprvsa 22 e You may change or delete claim until it is sent to WCHO for approval adjudication and payment Add a UB 92 e Click on the Add UB 92 link to the right of the authorization you are entering a claim against e Use the drop down menu to select the batc
10. AINING MODE washtenaw community health organization Home Logout l Help amp messages Service Provider Menu FEn ompass and Procedures i il Ei View Screening and Assessment Records View Consumer Screening and Assessment Records myPage View Substance Abuse Referral Forms SARF gt Work with substance abuse referral forms SARF myPage Submit Substance Abuse Admission Forms Work with substance abuse admission forms myPage hd TIME OUT IN 59 Minutes 52 Seconds g Internet A e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button e TRAINING MODE En mpass washtenaw community health organization Back Home Logout Help eimessages Consumer List Please type in consumer s last name Consumer Last Name Consumer First Name AKA or Other Information and first initial and press SEARCH to locate the consumer You may wish to Use partial name if you are not sure about the spelling doe Consumer ID Social Security No Girth Date mmddyy If you cannot find the consumer by mame you may type in any other CSTS Case available data to locate the TS SEARCH CONSUME si TIME OUT IN 59 Minutes 46 Seconds Internet F 15 e Click the Select link to the right of the Consumer s information Z Select a Consumer Microsoft Internet Sxplorer l E o
11. ODE En mpass Washtenaw community health organization Back Home Logout Help Change Performance Indicators Provider ii Address Adult Learning Systems 1954 South Industrial Hwy Mae Phone Fax anite R Ge 734 5668 7447 1734 468 2772 e et nese Site No 416 i Contract Name Cont act Number rn aaa a Effective E piration Dates G 10 01 2003 09 30 2004 Licensed Setting ALs 3596 Some fields on this form Kontain calculated data To update these fields to reflect y changes click the button below Update Calculated Fields Step 6 Click the save button on the bottom of the page Quarter 1 a a ar Discussion of Network Indicators Wel gawe our satisfaction surveys October 15 2004 NE Satisfaction rate was SOE This iz the area the provider should discuss any questions that scored loper than the target The provider should also include any plans to improve Scpres on those questions over the next year Record Added Record Changed woos 03 31 2004 10 26 31 ANCEL Back Home l 34
12. astern Time Peter Parker SA TIME OUT IN 59 Minutes 52 Seconds A l Internet F e A listing of the Provider Staff Members with access to Encompass will be displayed e TRAINING MODE En dmapass washtenaw community health organization Back Home Logout l Help messages Contact List Provider Address Fy se Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 345 734 2223 5656 734 2223 7878 AL ea ba le Person Name Type any part of the last or first name SEARCH 1 Matched Name Phone Status Pm Peter Parker 5A 313 902 2345 Active a Ga view 28 e Click on the View link to view the details of the Staff Member such as licensing and credentials Add a Staff Member Contact e Click on Provider Staff Directory Service Provider Menu Microsolt Internet Explorer S _ Oj x KG TRAINING MODE EnGmpass washtenaw community health organization Home l Logout Help messages Service Provider Menu the pended bills back to an active batch myPage Complete Batch List eae p View a list of all batches regardless of current status This option can poking up historical claims MyPage Saturday September 27 2003 11 43 AM Eastern Time Peter Parker SA ad TIME OUT IN 59 Minutes 52 Seconds A internet F e To avoid entering a duplicate record search the Staff Member database before adding a new Staff record If your search does not return any result
13. consumer You may wish tol USE partial name if you are not sure about Hin Seng WCHO Consumer ID Social Security Ne If you cannot find the consumer by name you may type in any other available data to locate the SEARCH 1 Consumers Last Name First Name WCHO Consumer ID CSTS Case Social Security Birth Date Doe John 11 123 45 6789 01 01 200 screening and Assessment e TIME OUT IN 59 Minutes 48 Seconds 11 e A list of all screenings conducted by ACCESS will be displayed click the View link to the right of the assessment E Screening Assessment List Microsoft Internet Explorer lo x e TRAINING MODE Enfompass washtenaw community health organization Back Home Logout Help imessages Screening Asgzessment List File Edit View Favorites Tools Help K Consumer Hame Consumer SSH DOB Sender j Doe John 1i 1123 45 6789 01 01 20 Male 3 Records s Assessed By See eng Date and Disposition Time Michael Harding 08 18 2003 1 58 PM Referred to Other Agency Print Screening Assessment Short Version Print Screening Assessment fLon Version A TIME OUT IN 59 Minutes 51 Seconds Internet F e The Screening and Assessment will be displayed There are twenty nine pages of data use the index provided on the left hand side of the screen to access the information quickly Z view Screening Assessment Microsoft Internet Explorer File Edit View Favorites Tools
14. diagnosis information i Select Diagnosis Code Microsoft Internet Explorer Keyword depre Click here to do a Structured Search 46 Codes Code Description 290 13 Presenile dementia with depressive features 290 21 Senile dementia with depressive features 290 43 Arteriosclerotic dementia with depressive features 292 84 Drug induced organic affective syndrome 296 20 Major depressive disorder single episode unspecified 296 21 Major depressive disorder single episode mild 296 22 Major depressive disorder single episade moderate 296 23 Major depressive disorder single episode severe without mention of osychotic behavior 296 24 Major depressive disorder single episode severe specified as with psychotic Select behavior 296 25 Major depressive disorder single episode in partial or unspecified remission select PREVIOUS Page 1 of 5 NEXT gt CLOSE 25 Claim Batch Review and Send for Approval e Click on Claim Batch Review and Send for Approval i Service Provider Menu Microsoft Internet Explorer B x e TRAINING MODE En ompas Washtenaw community health organization Home Logout Help amp messages Service Provider Menu View Authorized Service amp and Enter Claims ya view authorized service and enter claims myPage aim Batch Review and Send for Approval potion will list batches in the datg e where you can a review the batches and send the batch
15. e available data to locate the o consumer ba TIME OUT IN 59 Minutes 46 Seconds A g Internet Z e Click the View link to the right of the Consumer s name lt Consumer List Microsoft Internet explorer l x e TRAINING MODE En ompass Washtenaw community health organization Back Home Logout Help Simessads Consumer List Please type in consumer s last name and first initial and press SEARCH to locate the consumer You may wish to Use partial name if you are not sure about the spelling WCHO Consumer ID Consumer Last Name Consumer First Name AKA or Other Information Social SSqurity Ho If you cannot find the consumer by name you may type in any other available data to locate the consumer 1 Consumers Last Name First Name WCHO Consumer ID CSTS Case Social Security Birth Da Doe John 11 123 45 6759 01 01 2001 Ey li internet The Consumer s demographic information is displayed Use the scroll bars on the right side of the screen to move through the data TIME OUT IN 59 Minutes 52 Seconds View Screening and Assessment Records e Click on View Screening and Assessment Kecords i Service Provider Menu Microsoft Internet E plorer fo TRAINING MODE En ompas washtenaw community health organization Home i Logout l Help E message Service Provider Menu P Test SA Provider of Michigan View Consumers Change Password
16. e Password View Consumers View consumerg that are authorized for services by this provider View Screening ad Assessment Records B View Consumer Screening and Assessment Records myPage El TIME OUT IN 52 Minutes 44 Seconds nternet Z e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button M0 TRAINING MODE washtenaw community health organization Back Home Logout Help Emessages En ompas Consumer List Please type in consumer s last name Consumer Last Name Consumer First Name AKA or Other Information and first initial and press SEARCH to locate the consumer You may wish to use partial name if you are not sure doe about the spelling Consumer ID Social Security No Birth Date mmddyy If you cannot find the consumer by mame you may type in any other CSTS Case available data to locate the SEARCH consumer 13 E TIME OUT IN 59 Minutes 46 Seconds A Internet 2 e Click the Select link to the right of the Consumer s information Select a Consumer Microsoft Inter et Explorer Fx o x fo TRAZNING MODE En ompass washtenaw community healtkorganization Back Home Logout Help messag Select a Consumer R see e Consumer Last Name Consumer First Name AKA or Other Information locate the consumer You may wish to use partial name if you ar
17. e etait alarm dene 19 Lg b EM AN MN MEP 20 ToAdd a e SOO MM EN A e 20 Adda B e E MY le KAM E Me ie 23 singtheDiagnosisCodeLookupButan 2 ClamBatchReviewandSendforApproval 26 Section 6 Provider Staff Directory ce00000000000000000000000000000000000000000000000000000000000000000000 28 We Sal DIECON yayda dal Ba da ya b yal Bada m ayal da ess 28 Ada astar Nebe ONLACL sm ll esi ai nl aaa alla ik sl 29 Section 7 Performance Improvement Network Indicators cccccccccsssssssssssees 31 Section Logging Into and Out of the System Logging Into the System e Open Internet Explorer e In the address box type in http www ewcho org and press Enter on your keyboard The following screen will be displayed 2 Main Microsoft Internet Explorer l x File Edit View Favorites Tools Help washtenaw community health organization Help to Washtenaw Community Health Organization sumer Management System Please enter your login ID and password User Name o o this site is limited to n i mooo Washtenaw County Health iiaa nization Personnel and Login affiliates and providers thorized attempt to access the 1 forgot my password system is prohibited Washtenaw County Health Organization monitors and logs the activities of this web site By accessing this web site you are expressly conse
18. e not sure SEINE ane pleus WCHO Consumer ID Social XNyrity No If you cannot find the consumer by name you may type in any other available data to locate the SEARCH consumer 1 Consumers i Last Name First Name WCHO Consumer ID CSTS Case Social Security Birth Date Doe John 11 123 45 6789 01 01 2001 EI TIME OUT IN 58 Minutes 46 Seconds g Internet Z e A list of the Consumer s SARF s will be displayed Click on the View link to the right of the SARF A SARF List Microsoft Internet Explorer __ Olx ee SARH List File Edit View Favorites Tools Help Wo TRAINING MODE washtenaw community health organization Back Home Logout Help E messages Consumer Name Consumer ID SSN Caset a Doe John 11 123 45 65 7 89 a Address Home Phone Date of Birth Gende 11234 main 248 456 5289 01 01 2001 Male southfield MI 12345 1 Matched Referral Date Form Completed By Provider Admission Date Discharge Date Y 09 01 2003 Test Staff PCE Test SA Provider of Michigan Fax SARF Back Home hd TIME OUT IN 58 Minutes 50 Seconds Internet A e The SARF will be displayed 14 Submit Substance Abuse Forms e Click on Submit Substance Abuse Admission Forms Service Provider Menu Microsoft Internet Explorer File Edit View Favorites Tools Help fo TR
19. h that this claim will belong to If you do not wish to include this claim is a batch at this time select PEND CLAIM from the drop down menu Enter a received date i Add UB 97 Claim Form Microsoft Internet Explorer S oj xj File Edit View Favorites Tools Help e TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help E messages Add UB 92 Claim Form Batch Number Date HAMS BATCH 2 3 PATIENT CONTROL NO R PEND CLAM FIDER OF MICHI 123456789 OF gt as a a eae me TIME OUT IN 59 Minutes 38 Seconds i internet F e Scroll down enter the detail lines for the claim If you need more detail lines click the Add More Lines link yj Add UB 92 Claim Form Microsoft Internet Explorer 3 i ni x File Edit View Favorites Tools Help CG TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help eimessages Add UB 92 Claim Form hz REY CD ha DESCRIPTION ha HCFCS RATES is SER DATE he SERY UNITS h7 TOTAL CHARGES hs HON COVWERED CHARGES hs kosan 10 10 00 EE add More Lines More Lines TOTAL CHARGE TIME OUT IN 57 Minutes 10 Seconds L i ser Internet 23 e Continue to scroll down enter the Consumer s diagnosis code You may type in the diagnosis code or use the lookup button to search the diagnosis code database Please see the end of
20. ity health organization Back L Home Logout Help Elmessages Change Performance Indicators Some fields on this form contain calculated data To update these fields to reflect your changes click the button below Update Calculated Fields Quarter 1 Satisfaction with Services Provided reported annually Data due April 30 2004 of Surveys of Surveys Response Rate Satisfaction Rate Distributed Collected calculated from Satisfaction Survey Compilation Form 20 fi A 75 40 00 Community Integration reported quarterly 2nd ord 4th 1st Quarter Quarter Quarter Quarter of consumers served this quarter S Target of group activities per quarter Il Actual of group activities for the quarter Target of consumer chosen activities per quarter 4ctual of consumer chosen activities for the quarter TT Staff Retention reported quarterly 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter of staff working 6 months or more 4 Total of staff fo Fercentage of staff working 6 months or more calculated Discussion of Network Indicators We gawe our Satisfaction surveys October 15 2004 Our satisfaction rate was 905 THis is the area the provider should discuss any questions that scored lower than the target The provider should also include any plans to improwe Scores on those questions over the next year 33 Step 5 Click on the Update Calculated Fields button at the top of the page Mo RAINING M
21. l of the admission information has been entered and verified click the SAVE button 16 Submit Substance Abuse Discharge Forms e Click on the Submit Substance Abuse Discharge Forms Service Provider Menu Microsoft Internet Explorer _ o x CG TRAINING MODE En ompass washtenaw community health organization Home l Logout Help E messages Service Provider Menu Submit Substance Abuse Admission Forms gt Work with substance abuse admission forms myPage S ubmit Substance Abuse Discharge Forms Work with substance abuse discharge forms myPage izl TIME OUT IN 59 Minutes 49 Seconds A internet F e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button Mo TRAINING MODE En mpass washtenaw community health organization Back Home Logout Help eimessayes Consumer List Please type in consumer s last name and first initial and press SEARCH to locate the consumer You may wish to USE partial name if you are not sure about the spelling Consumer ID Social Security Ho Birth Date mmddyy Consumer Last Name Consumer First Hame AKA or Other Information doe If you cannot find the consumer by name you may type in any other CSTS Case available data to locate the o SEARCH CONSUMEF El TIME OUT IN 59 Minutes 46 Seconds By a Internet F
22. l x fo TRAINING MODE En ompas washtenaw community health amp ganization Back Home Logout Help E messages Select a Consumer daa al m ao Consumer Last Name Ronsumer First Name AKA or Other Information locate the consumer You may wish to use partial name if you are not sure about the spelling WCHO Consumer ID Social SecurNy No If you cannot find the consumer by name you may type in any other available data to locate the SEARCH consumer 1 Consumers Last Name FirstName WCHO Consumer ID CSTS Case Social Security Birth Date Doe John 11 123 45 6789 01 01 2001 El TIME OUT IN 58 Minutes 46 Seconds Internet A e Click on the Admission link to admit the SARF Z SARF List Microsoft Internet Explorer lol x Ble Edt View Favorites Tools Help NA EZ ue TRAINING MODE En ompass washtenaw community health organtsation Back Home Logout Help amp jmessages SARF List Consumer Name Consumer ID SSN Case a Doe John 11 123 45 6789 p Address Home Phone Date of Birth Gender 1234 main 248 456 5289 01 IN 2001 Male southfield MI 12345 1 Matched lt Referral Date Form Completed By Provider Admission Date Discharg amp Date 09 01 2003 Test Staff PCE Test SA Provider of Michigan View CAdmission Fax SARF Back Home xi TIME OUT IN 58 Minutes 50 Seconds Internet Z e Verify the SARF information and add any additional information needed Once al
23. lth rganization Personnel and wuthorized affiliates and providers Password I forgot my password Ina uthorized attempt to access the system is prohibited Washtenaw County Health Organization monitors and logs the activities of this web site By accessing this web site you are expressly consenting to these monitoring activities Unauthorized attempts to access obtain alter damage or destroy information or otherwise to interfere with the system or its operation are prohibited and recorded by the Authority This site is best viewed and operated with version 5 0 or higher of Microsoft Internet Explorer El Local intranet 7 e Enter your User ID and Email address in the fields provided and then click the Continue button i Main Microsoft Internet Explorer File Edit View Favorites Tools Help da Back E3 fat Search Gaj Favorites eMedia dj Er og B washtenaw community health organization Help l Primary Information Flease identify yourself by answering the following questions What is your user 1D pce_clare What is your email address cmillermpcesystems com cance Done E ii fof Local intranet a e Enter the answer to the Security Question in the field provided and then click the continue button File Edit wiew Favorites Tools Help lt Back p i at search Favorites Meda 64 Shs 3 g washtenaw com
24. munity health organization Help Security Questions Please verify your identify by answering the following security questions What is your date of birth What are the last 4 digits of your social oe number Continue Cancel The system will provide you with the first half of the temporary password Be sure to write down the password displayed as this screen will no longer be available after you click on the Continue button washtenaw community health organization Help 4 temporary password has been generated The first part of this password is 4e7a The second part has been emailed to you Please write down the first part of the password once you leave this screen you will not be able to view this information again If you re still having problems please contact WCHO System Administrator at 734 555 1212 Continue E The second half of the password will be sent to your email account From PasswordRetrieval pcesystems com Sent Fri fif2003 11 16 AM Ta criiler pcesystens cor LCi Subject Your temporary Password The second part of your temporary password is edda If you are still having problems please contact WHO system Administrator at 734 555 lele2 ee THIS I3 AN AUTOMATED MESSAGE PLEASE DO NOT REPLY Logging Out of the System Always log out of the system before shutting down the browser a log out is also necessary when you leave your computer unattended Logging ou
25. n the BACK button to return to the send approval screen i Invoice Batch List Microsoft Internet Explorer File Edit View Favorites Tools Help Mo TRAINING MODE En ompas washtenaw community health organization Back Home Logout Help Smessages Invoice Batch List Invoice Batches Ready Batch Number Batch User Batch Date Claims WERE ELD Allowed oo0006 svcporysa 09 27 2003 1 110 00 York With Batch Send for Approval 0 00 000005 svcprvsa 09 27 2003 1 130 00 VYork With Batch Send for Approval 0 00 Back Home TIME OUT IN 59 Minutes 49 Seconds nternet E e Click on the Send for Approval link to send the batch to WCHO fot approval adjudication and payment 24 Section Provider Staff Directory The Provider Directory is a list of the Provider s Staff members that have access to the Encompass system System Administrators will use the Staff Directory to add additional Users to the database View Staff Directory e Click on Provider Staff Directory Service Provider Menu Microsol Internet Explorer E ioj TRAINING MODE En ompas nity health organization messages Service Provider Menu G Wwashtena w com Home l Logout Help the pended bills back to an active batch myPage Complete Batch List IN view a list of all batches regardless of current status This option can poking up historical claims MyPage Saturday September 27 2003 11 43 AM E
26. nting to these monitoring activities Unauthorized attempts to access Obtain alter damage or destroy information or otherwise to interfere with the system or its operation are prohibited and recorded by the Authority This site is best viewed and operated with wersion 5 0 or higher of Microsoft Internet Explorer Zj Done imi Za Local intranet 4 e Enter your User Name and Password and then click the Login button Please note o The first time you access your account your password will be the same as your User ID You will be prompted to change your password o When changing your password you will provide the answer to two security questions what is your birth date and what are the last four digits of your Social Security Number The answers to these questions will be used if you forget your password o After three unsuccessful login attempts your account will be locked and you will have to call the Help Desk to have it unlocked What If Forget My Password If you have forgotten your password click on the I forgot my password link on the log in screen Main Microsoft Internet Explorer File Edit View Favorites Tools Help washtenaw community health organization Help os Icome to Washtenaw Community Health i Organization Consumer Management System Please enter your login ID and password 4 User Name Access to this site is limited to rized Washtenaw County Hea
27. rizations Authorization Consumer Name Service Date Range Status 200300001265 John Doe 06 01 2003 06 30 2003 b Authorized View Auth Add HCFA 1500 Add UB 92 200300001266 John Doe 09 01 2003 09 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 2 Claims EE Claim Total te Le eat sin Consumer Auth Service Date Range Charges Status Client Allowed Number HCFA 1500 000032 DOE JOHN 200300001265 06 01 2003 130 00 Change Delete 000005 Ready 06 30 2003 00 View svcprvsa ee l l UB 92 000033 DOE JOHN 200300001266 09 01 2003 110 00 Change Delete 000006 Ready 09 30 2003 00 View svcprvsa i E e TIME OUT IN 55 Minutes 54 Seconds ii fe D Internet 7 24 e You may change or delete claim until it is sent to WCHO for approval adjudication and payment Using the Diagnosis Code Lookup Button e Click on the Lookup button e Search for the diagnosis code by entering the partial name of the diagnosis and click the SEARCH button For example to search for a depression diagnosis type depre in the field provided see below E Select Diagnosis Code Microsoft Internet Explorer i x Select Diagnosis Code Keyword depre Search Click here to do a Structured Search 0 Codes Code Description CLOSE e Any diagnosis matching the keyword will appear use the Previous and Next links to change pages Once you have found the correct diagnosis click the Select link to the right of the
28. rovement Network Indicators Step 1 Click on Performance Indicator button CG TRAINING MODE En ompass washtenaw commupity health organization Home Logout Help eimessages Clinical Information Clinical Information Authorization View Consumers ae l za View consumers that are authorized for services by this provider Sy mn View Screening and Assessment Records View Consumer Screening and Assessment Records myPage ea Lookup View Substance Abuse Referral Forms SARF change arel gt Work with substance abuse referral forms SARF MyPage User Guidelines Complete Substance Abuse Admission Forms 31 Step 2 Click on Performance Improvement Network Indicators to submit performance Improvement Data KG TRAHVING MODE En ompass washtenaw community healtPhxorganization Home Logout Help Smessages Performance Indicator Clinical Information nprovement Network Indicators Moicator forms myrage Authorization Performance Im Claim Processing Performance Indicator Incident Reports Step 3 Choose the quarter you wish to update 1 2 3 ar 4 Click on the quarter you are updating 1 Performance Indicators Contract Form Effective amp Expiration Date 35962 Licensed Setting ALs Licensed Settings 10 01 2003 09 30 2004 Update G4 Update G3 Update 4 32 Step 4 Fill out all reguired fields TRAINING MODE En ompass washtenaw com mun
29. s it is safe to enter a new record click on the Add Contact link i Contact List Microsoft Internet Explorer 15 x iii CO File Edit View Favorites Tools Help Mo TRAINING MOD En Ompass washtenaw community health organization Back Home Logout l Help El messages Contact List Provider AdNress te Test SA Provider of Michigan 12445 Second SA Street Phone Fax STUY Bore 734 2223 5656 734 2223 7878 PTL alli tL Person Name Type any part of theNast or first name SEARCH 1 Matched Name Phone Status Add Contact Peter Parker SA 313 902 2345 Active Change Delete View E TIME OUT IN 59 Minutes 9 Seconds A internet F e Enter the following information about the Staff Member Name Contact Information phone fax numbers and email address Job Information department job title hire date and job functions ORR Training dates of initial and last OOR training dates O O e oO Credentials Use the drop down menu to select educational degree discipline and billing type 29 o License Use the drop down menu to select license type enter the license number license name State and expiration date o User ID Enter the Staff Members User ID Once all of the Staff Member information has been entered click the SAVE Button The new Staff Member will now appear in the directory and a User ID has been added 30 Section Performance Imp
30. t prevents unauthorized Users from entering the Administrative System e Click on the Logout button E Call Tracking Microsoft Inte enet Explorer File Edit wiew Favoritesf Tools Help ue 3 washtenaw community health organization Std i gt m Home gout Help Elmessages Call Tracking zl _ bezesi The following screen will be displayed fo washtenaw community health organization You have successfully logged out from WCHO Clic here tum to WCHO s login page If you wish to return to the login screen click the here link It is now safe to close your browser Section Navigation Buttons When using the WCHO Administrative system DO NOT use your browser s back button Only use the navigation buttons provided by the system that is those below the red line Caller List Microsoft Internet Explorer File Edit View Favorites Tools Help NN 0 fat Search Favorites Meda G4 Es gg i Ys adare 5 http fpceweblOO cai bin webObjects wsHAdmin woal4 wofHlEkktexvBMOgefekLissw 11 5 14 0 0 1 0 GALA I ey washtenaw community health organization e Back Home Logout Help l NEZZAYES Caller List e TIME OUT IN 59 Minutes 44 Seconds SE Local intranet Zi Back Click on the back button to go to the previous page DO NOT USE YOUR BROWSER S BACK BUTTON Home The home button will always take you back to the main page
31. this Section to see further instructions on using the lookup button Add UB 92 Claim Form Microsoft Internet Explorer Bll xj File Edit View Favorites Tools Help CG TRAINING MODE washtenaw community health organization Back Home Logout Help Simessages Add UB 92 Claim Form Or _ 4 3 TREATMENT AUTHORIZATION CODES 65 EMPLOYER S NAME 36 EMPLOYER LOCATION 200300001266 E 7 PRIN DAG CO Es CODE ba CODE Fo CODE Fa CODEF CODES CODE CODERS CODE FE ACK DAG corr E CODE Ba PRINCIPAL PROCEDURE Ea OTHER FROCEDURE OTHER PROCEDURE r A i l PPR pm r9 PC CODE DATE CODE DATE CODE DATE 2 ATTENDING PHYSICIAN ID Last First MI Cred Pee E OTHER FROLEDURE OTHER FROCEDURE OTHER PROCEDURE B3 OTHER FHYSICIAN ID canFE ATE Tone Ate cone DATE TIME OUT IN 54 Minutes 53 Seconds Internet F e Once all of the information has been entered click the SAVE button e The Claim is now displayed If you indicated that this claim is part of a new batch the system will assign a batch number to the claim 2 Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help fo TRAINING MODE washtenaw community health organization Back Home Logout Help messages Claim Entry Provider Address Test SA Provider of Michigan 12345 Second SA Street 734 2223 5656 734 2223 7878 an Arbor MI 48123 2 Autho
32. tom of the screen and enter the diagnosis You may type in the diagnosis code or use the lookup button to search the diagnosis code database Please see the end of this Section to see further instructions on using the lookup button Add HCFA 1500 Claim Form Microsoft Internet Explorer Wo TRAINING MODE En Ompass washtenaw community health organization Back Home Logout Help EBmessages Add HCFA 1500 Claim Form 21 TE 22 Medicaid Resubmission Original Reference No aj of a eku Code 23 Prior Authorization Number E gt eku a esku 200300001265 Eyy pm PE E ae B TIME OUT IN 52 Minutes 39 Seconds g Internet 7 21 e Continue to scroll enter the detail lines If you need additional detail lines click on the Add More Detail Lines Add HCFA 1500 Claim Form Microsoft Internet Explorer O x File Edit View Favorites Tools Help fo TRAINING MODE washtenaw community health organization Enlompass Back Home Logout Help eimessages Add HCFA 1500 Claim Form al Add More Detail Lines PRE GN EK lt A GE EE A MK IG EE e e F e an e Ba me at GPVACPES O gt Use EE fa a k peoa Ez ci mn nm O mmm a a EEE po ri mn a mm S S S peaz frv a O po a G mm n SS S S 25 Tax ID TT Patient Account No 27 Accept Assignment 28 Total b m Amount Paid 7 Balance Due C ssn ern 1234
33. vider of 09 01 2003 Michigan E TIME OUT IN 59 Minutes 55 Seconds Internet b e Verify the discharge information enter the discharge date and reason for discharge Once all of the discharge information has been entered click the SAVE button 18 Section Authorizations and Claims View Authorizations e Click on View Authorized Services and Enter Claims Ay Service Provider Menu Microsoft Internet Explorer o x e TRAINING MODE En ompas washtenaw community health organization Home l Logout Help Emessages File Edit View Favorites Tools Help Service Provider Menu Bl View Authorized Services and Enter Claims ET claims myPage Claim Batch Review and Send for Approval This option will list batches in the data entry stage where you can ya review the batches and send the batch to the approver when ready Bi TIME OUT IN 56 Minutes 33 Seconds Internet E e A list of all authorizations is displayed E Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE washtenaw community health organization En ompass Back Home Logout Help El messages Claim Entry Provider Address Fi se Test SA Provider of Michigan 12345 Second SA Street of Phone En Suite 345 734 2223 5656 734 2223 7878 TMD EON M a 2 Authorizations Authorization Consumer Name Service Date Range Status 200300
Download Pdf Manuals
Related Search