What is an EHR?

Below are some getting Started Resources. Whether you choose to do it on your own or hire out, we hope these resources help. Dear Credentialer's, contact us if you would like to be added to our list of resources. 

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On that note... How do you eat an elephant? One bite at a time. Through this process, learn to meditate and use your breathing techniques to get through it :)

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An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports   

 

The EHR automates access to information and has the potential to streamline the clinician's workflow.  The EHR also has the ability to support other care-related activities directly or indirectly through various interfaces, including evidence-based decision support, quality management, and outcomes reporting.

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EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians.  The data, and the timeliness and availability of it, will enable providers to make better decisions and provide better care.  

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For example, the EHR can improve patient care by:

• Reducing the incidence of medical error by improving the accuracy and clarity of medical records.

• Making the health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to take better decisions.

• Reducing medical error by improving the accuracy and clarity of medical records.

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For information about the Medicare & Medicaid EHR Incentive Programs, please see the link in the "Related Links Inside CMS" section below.

 

For industry resources on EHR, please see the links in the "Related Links Outside CMS" section below.

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EHR Costs:

TherapyNotes:

• First Clinician:$59/month

• Additional Clinicians:$30/month

• Schedulers/Billers:Free

• Clearinghouse Services

• Real Time Eligibility Requests: $0.14 each

• Electronic Claims: $0.14 each

• Remittance Advice (ERAs): $0.14 per claim

• Mailed Paper Claims: $0.49 each

• Email Reminders: Free

• SMS (Text Message) Reminders:$0.14 each

• Automated Phone Reminders:$0.14 each

• Telehealth:  Free

• TherapyNotes ePrescribe: Each Prescriber:$65/month

 

Simple Practice

Stater Plan: $29/mo.              

• Unlimited clients

• Paperless intakes

• Client portal

• Progress notes

• Diagnosis and treatment plans

• Automated invoicing and billing

• Credit card processing

• Live customer support

• Mobile app

• Telehealth Add for $15/mo

 

Essential Plan: $69

• Everything in Starter, plus:

• Customizable notes and assessments

• Appointment reminders

• Online appointment requests

• Secure client messaging

• Monarch directory (practitioner directory)

• Professional website

• Analytics dashboard

• Insurance claim filing (starting at $.25/claim): 10 claims included/mo

• Wiley Treatment Planner: Add for $15/mo

• Telehealth Included

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Essential Plus Plan: $99/mo.

Calendar sync

Appointment request widget

Advanced calendar filters

Add team members

Add practice managers ($39/mo per person)

Add clinicians ($59/mo per person)

Insurance claim filing (starting at $.25/claim) 35 claims included/mo

Wiley Treatment Planner Included

Telehealth Included

 

Wiley Practice Planners

Build effective, well documented treatment plans with Wiley PracticePlanners®. Access the treatment plans, progress notes, and homework assignments that are already seamlessly integrated into your EHR system. Wiley PracticePlanners® offer comprehensive treatment approaches that can be customized for individual needs.

Partners:

• Advanced Data Systems Corporation

• Askesis Development Group

• CoCentrix

• CounSol

• Core Solutions

• Credible Behavioral Software

• DocuTrac, Inc.

• Harris Computer Systems

• MedEZ

• Mimo Medical

• My Clients Plus

• Netsmart

• PIMSY

• Procentive

• Qualifacts Systems

• ShareNote

• SimplePractice

• Talkspace

• Telecorrect

• The Echo Group

• TheraNest

• TherapyCharts

• TheraScribe

• Welligent Behavioral EHR Software

• ZenCharts

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Therabill

$149 per month/per provider

+ $199 one-time setup cost

Your membership includes:

• Unlimited non-provider logins

• Unlimited email support

• Unlimited claims, scheduling, and documentation

• 2 GB of attachment storage

• Online training and onboarding

• No per-claim or clearinghouse costs

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My Clients Plus

Monthly Plan

$29/month per provider

• Unlimited clients

• Multi-user access to your account.

• Multiple office location support.

• Unlimited email reminders

• In-depth reports to keep track of revenue, number of sessions,
  type of session and other metrics important to your practice.

• Credit card processing.

• Generate invoices and superbills with ease.

• Client portal access included for first provider

• $5/monthly claim subscription

• • Includes 10 claims, additional claims are 25¢ each

Enrollments

• $5 per payer enrollment for annual plan subscribers

• $10 per payer enrollment for monthly plan subscribers

Add Ons

• Wiley Practice Planners: $25 per month, per provider

• Telehealth: $15 per month, per provider

• Appointment Reminders: Price Varies for SMS Text and Voice Reminders. Email Reminders Free.

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Annual Plan

$319/year per provider

• Unlimited clients

• Multi-user access to your account.

• Multiple office location support.

• Unlimited email reminders

• In-depth reports to keep track of revenue, number of sessions, type of session and other metrics important to your practice.

• Credit card processing.

• Generate invoices and superbills with ease.

• Client portal access included for first provider

Claims Processing: $5/monthly claim subscription, Includes 10 claims, additional claims are 25¢ each

Enrollments

• $5 per payer enrollment for annual plan subscribers

• $10 per payer enrollment for monthly plan subscribers

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TheraNest

Cost:

• 30 Active Clients: $39

• 40 Active Clients: $50

• 50 Active Clients: $60

• 80 Active Clients: $91

• 100+ Active Clients: 205-537-9167

Add Ons:

• Wiley: $25/ per user

• Client Portal: $6 per therapist

• Telehealth: $12 per therapist

Features:

• Unlimited staff members

• World class customer support, including live phone support

• Full-featured calendar that keeps you organized

• Automatic email, phone, and text appointment reminders*

• Client Portal with client self-scheduling

• Customizable Intake Forms

• Integrated credit card processing that allows you to store and charge cards

• Batch Payments feature for easy payment collection

• Robust reporting features with over 25 reports available

• Eligibility Checks for TheraNest Pro and TheraNest Enterprise (Apex Customers Only)

• Unlimited note templates with Custom Forms

• Seamless client and insurance billing

• Electronic claims filing*

• Integrated ERA/ EOB

• Comprehensive knowledge base with articles, videos, and on-demand training

• HIPAA compliant secure messaging

• Unlimited document storage for clients and staff members

• Customizable superbills and client statements

• Practice chat for secure internal communication

• iPhone and Android mobile apps available

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Kareo

• Comprehensive Dashboard: Enjoy intuitive dashboard, task lists, and customizable multi-resource calendar.

• Simple Charting: See how simple and fast it can be to create patient encounter notes.

• E-Prescribe: Save time and eliminate phone calls for you and your staff with electronic prescribing. 

• Convenient eLabs: Automate inefficient paper based processes

• Electronic Superbills: Complete and submit an accurate superbill in just a few clicks.

• Integrated Patient Portal: Share medical records and billing information and communicate with patients securely at any time.

• Secure Messaging: Conveniently message anyone in your practice, your biller or billing team, even your patients.

• Meaningful Use Stage 2 Certified: Meet the highest standards for maintaining data confidentiality and secure sharing of information.

• ICD-10 Ready: Trust Kareo to guide you and your practice through a successful ICD-10 transition.

• Maximize productivity:Support your staff's entire practice workflow including managing patients, uploading documents and sending secure messages.

• Flexible Calendar: Save time and customize your schedule so your front office can easily manage important patient communications.

• Agenda Overview: Get complete visibility at a glance by showing you outstanding items that need your attention for the day.

• Integrated Prescription Discounts:Search and compare prices at the point of prescribing. Increase likelihood of patients filling their prescriptions by providing them with discounts to save money.

• Flowsheets: Easily review and make necessary adjustments to individual lab and vital trends on one screen while getting a holistic view of your patient's key data over time.

Pricing

• Full Platform plus 50 claims/month: $174/month (each additional claim is only $0.99 cents)

• Full Platform plus Unlimited claims/month: $224/month

• Typical Promotional Offers: 50% off your first 4 months, plus Free Dedicated Success Coach for your first 90 Days

• No Startup Costs

• No Hidden Fees

• Free and Unlimited Live Support

• Free Training and Onboarding Assistance

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TheraPlatform

Basic $ 39

can not add additional providers

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Unlimited Telehealth

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Pro $ 49

$39 each additional provider

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Automated Billing

• Insurance Billing

• Unlimited Telehealth

• Telehealth Tools

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Pro Plus $ 59

$49 each additional provider

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Automated Billing

• Insurance Billing

• Unlimited Telehealth

• Telehealth Tools

• Interactive Therapy Apps

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Billing e-Guide 

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Credentialing For Hire: 

Typically a credentialer will charge on average $100-200 per payor. They can also do your billing and charge on average 3%-8%​

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Federal No Surprise Act: 

Through new rules aimed to protect consumers, excessive out-of-pocket costs are restricted, and emergency services must Continue to be covered without any prior authorization, and regardless of whether or not a provider or facility is in-network.

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Ohio LACTS/ OHMAS:

Welcome to the OhioMHAS Licensure and Certification Tracking System (LACTS) Application web portal. LACTS allows you to electronically submit an initial or renewal application for an Adult Care Facility, an Adult Foster Home, a Residential Care Facility, a Community Mental Health Agency, and a Private Psychiatric Hospital; and review your licensure and or certification status, add sites, services, attach files, and update your facility and staffing information.

The LACTS User Guide is available to provide detailed instructions for managing license or certification applications for submission to Ohio Department of Mental Health and Addiction Services.

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SAMHSA State Certification:

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.

 

ASAM Navigator

Practitioner Training

ASAM Levels of Care

 

​What you need to get started:

Information you will need on a continuous bases are below. You should have this information saved in a folder on your desktop. Also, do yourself a favor and start a spreadsheet of all the numbers you'll need to have access to in the moment.

• Licence(s): License numbers and copies

• EIN Number (Tax ID)

• NPI #'s: NPPES

• CEU's (Ongoing tracking for your continuing education): CE Broker

• Psychology Today, we also have a list of clinicians here for referral BHealthy Contacts (you will want to set up profiles as soon as you can. Most have a cost associated with it, BHealthy is free with membership. You will also want to set up your profile with each of the payors you get credentialed with and set up a profile in the EHR You will use.

• Resume: FYI You must show what you were doing during gaps of employment in your CAQH File.

• Secretary of State Articles of Incorporation (where you register your business name and thats by state)

• CAQH: Register and have access to your ID and Password (credentials will want it if you hire out). CAQH Link.

• W9

• Insurances Policy Information: Policy number, dates of coverage, coverage limits (Links above)

• Medicaid Number:  PECOS (Medicare provider Enrollment)

• Address/ Phone/ Fax  (note you must have a fax to take medicaid. You can find several sources for efax & Esign sites online)

• Web Address: We used WIX and GoDaddy

• EHR: (Bhealthy uses TherapyNotes)The place where you will submit notes, billing and create superbills. See the list below. While you are in waiting for your own credentialing, we recommend Headway, a quick and easy way to start taking private insurance clients without the months of waiting, and they pay well enough. 

• Fee Sheet: You'll need to have a good understanding of what you want to charge and that will need to be posted in your office and your website. When you are negotiating fees with the payors, have these numbers ready. Average is $170/hr. until you have an established practice. You can renegotiate that annually with each payor. Link to Ohio medicaid fee sheet is a good place to start. Medicaid Fees will vary by state so make sure you know your own. You can choose a higher number, this is simply for illustration.

• Business Bank Account: You'll a front and back copy of a voided check

• Drivers License Copy

 

Payers (Insurance Companies):

Apply to each of the payors here once you have all your affairs in order

​For Medicaid by state click this link

• Anthem

• Anthem Blue (Ohio Medicaid)

• Aetna

• Aetna Betterhealth (Ohio Medicaid)

• Buckeye (Ohio Medicaid)

• Caresource (OhioMedicaid)

• Cigna

• Humana

• ​Medicaid (Ohio) 

• Medical Mutual

• Molina (Ohio Medicaid)

• Ohio Health (Ohio)

• Oxford

• Oscar

• Paramount Advantage (Ohio Medicaid)

• United healthcare

• United Healthcare Community Plan (Ohio Medicaid)

 

 Register with the Exchanges: (they actually process the billing claims for the insurance companies)

• Change Healthcare

• Availity

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