Raintree Live!Business Continuity Q and A

April 17, 2020

Today’s Webinar

Presenters: Lorraine Welty, Christine Austin, Indhu Lakshman, Clayton Case

Moderator: Lorraine Welty

A recording of this session will be available on the User Group website The recording, slide deck & all referenced video links will be available in F1 help

★ Ask questions through the Q & A panel○ 7:30 - 7:40 Announcements / Upcoming Topics / Polls○ 7:40 - 9:00 Today’s Topic: Business Continuity Q and A

Upcoming Topics★ Today’s Topic: Business Continuity Q and A★ April 21, 2020 - 8:00 am RTConnect User Group Meeting★ April 21, 2020 - 10:00 am Therapy User Group Meeting★ April 22, 2020 - 10:30 am Billing User Group Meeting★ April 23, 2020 - 10:00 am ABA User Group Meeting★ April 24, 2020 - 8:00 am Pediatric Therapy User Group Meeting★ April 24, 2020 - 9:00 am Self Check-In, Kiosk and Patient Dashboard User Group★ April 28, 2020 - 10:00 am Raintree Live! Ideas In Action★ May 1, 2020 - 8:00 am Raintree Live! Reports Edition

★ Raintree Customer Telehealth Spotlight

★ https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/

In The News

https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/https://www.wsls.com/video/news/2020/04/14/health-care-providers-capitalize-on-telemedicine-/

★ Raintree Customer Telehealth Spotlight

https://www.kxxv.com/hometown/bell-county/bell-county-clinic-offers-virtual-therapy-for-medically-fragile-children

In The News

https://www.kxxv.com/hometown/bell-county/bell-county-clinic-offers-virtual-therapy-for-medically-fragile-childrenhttps://www.kxxv.com/hometown/bell-county/bell-county-clinic-offers-virtual-therapy-for-medically-fragile-childrenhttps://www.kxxv.com/hometown/bell-county/bell-county-clinic-offers-virtual-therapy-for-medically-fragile-childrenhttps://www.kxxv.com/hometown/bell-county/bell-county-clinic-offers-virtual-therapy-for-medically-fragile-children

★ CMS Coronavirus coding guidelines

★ https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf

★ Raintree ICD-10 Import Package #167010

★ Available in SSP for○ 2020.1○ 2019.3○ 2019.2

In The News

https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdfhttps://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdfhttps://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf

New in F1

★ Business Continuity★ Appointment Trend Report

User Groups Sandbox

★ Access User Group Sandboxes from the downloads tab

★ Fully functional with the latest “Early Adopter” service packs installed

★ Contact your CRM to request login information

Clinic Closures

Large drop in number of visits?Fully or partially closing?

Please let us know by emailing the details to solutions@raintreeinc.com

mailto:solutions@raintreeinc.com

Telehealth / eVisit Payment Rules by State

Open, working document to track payor requirements by state. We encourage everyone to review and add to this.

https://docs.google.com/spreadsheets/d/1rm9tBEJ0Oebgxryy8hgjTJeJiavRfKRVYjASCEOnycQ/edit?usp=sharing

We appreciate all you camels, frogs, and

even the hyenas!

https://docs.google.com/spreadsheets/d/1rm9tBEJ0Oebgxryy8hgjTJeJiavRfKRVYjASCEOnycQ/edit?usp=sharinghttps://docs.google.com/spreadsheets/d/1rm9tBEJ0Oebgxryy8hgjTJeJiavRfKRVYjASCEOnycQ/edit?usp=sharinghttps://docs.google.com/spreadsheets/d/1rm9tBEJ0Oebgxryy8hgjTJeJiavRfKRVYjASCEOnycQ/edit?usp=sharinghttps://docs.google.com/spreadsheets/d/1rm9tBEJ0Oebgxryy8hgjTJeJiavRfKRVYjASCEOnycQ/edit?usp=sharing

Telehealth vs E-Visits

CMS Guidelines

https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheethttps://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheethttps://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

Business Continuity Q and ALorraine Welty, Christine Austin, Indhu Lakshman, Clayton Case

Place of Service for Telehealth

★ There are 3 methods of managing POS by appointment type

○Default from Appointment Note Defaults

○Send to Posting Review

○Location (not preferred, but available)

Add Modifiers by Place of Service★ When set up correctly, then the CCI edit

box will show the Coding Edit that was invoked

http://www.raintreeinc.com/public/training/videos/modifiersbyplaceofservice.mp4

http://www.raintreeinc.com/public/training/videos/modifiersbyplaceofservice.mp4http://www.raintreeinc.com/public/training/videos/modifiersbyplaceofservice.mp4

Modifiers for Telehealth - Primary vs Secondary

Managing Payers with Different Modifier Requirements

★ To ensure billing uses the correct modifiers, you need to use the suppression options for the telehealth modifiers this payer does not want

○ HCFA option # 105○ UB04 Option # 92○ A837i Option #129○ A837p Option #104

★ You can also set specific combinations for CPT codes to suppress the GO,GP & GN codes for billing specific codes, example G2061:GP

★ Do we need to add an option to suppress/prevent posting of modifiers based on POS?

Managing Payers with Different Modifier Requirements

★ With these option defined the claims will now select the correct modifiers for both primary and secondary

Place of Service for Telehealth - Primary vs Secondary

★ If Primary and Secondary require different POS for same charges

Posting Review by Appointment Tpe★ An option to set a specific appointment

type to require posting review has been added

★ Also, an option to require posting review if the expected charges for a specific appointment are above or below a specified threshold

★ Reminder - Any user that has POST4OTHERS security is always allowed to post charges, regardless of posting review setup options

★ Requires Scheduler Library Package○ 166478 for 2020.1○ 159497.4 for 2019.3

http://www.raintreeinc.com/public/training/videos/postingreviewbyappointmenttype.mp4

http://www.raintreeinc.com/public/training/videos/postingreviewbyappointmenttype.mp4http://www.raintreeinc.com/public/training/videos/postingreviewbyappointmenttype.mp4

Posting Review by Appointment Tpe★ Now when sending to Posting Review,

the Appointment Type will be visible on the Posting Review Tab List

★ Available in the 2020.1 Release

Posting Review by Place of Service★ New options to define Posting Review by

POS have been added to the FC and INS setup

★ Currently available in 2020.1, planned for release to 2019.2 & 2019.3 soon

★ All items relating to posting and billing review have been moved to a new tab called “Review”

Posting Review

★ Question: How does the Posting Review Review TAB compare to the Service Ticket TAB?

★ How can I make sure that all Service Tickets that have been signed have been sent to Posting Review?

★ Answer: Click column header to sort by review flag. Those with the X are ready for Review and Post

Place of Service Reports

★ Question: How can I see revenue for Telehealth?

★ Answer: Use the Charge POS available on the standard report filter

Place of Service Reports

★ 2020.1 offers Charge POS as a Breakdown option on Custom Reports and Practice Analysis

Business ContinuityFeatures in DevelopmentRichard Welty, Indhu Lakshman, Viney Khera

E-Visits and Virtual Check In

Patient initiated requests are now reimbursable

See CMS guidelines published in March

https://www.cms.gov/files/document/general-tel

emedicine-toolkit.pdf

https://www.cms.gov/files/document/general-telemedicine-toolkit.pdfhttps://www.cms.gov/files/document/general-telemedicine-toolkit.pdf

E-Checkin

★ Patient Message Center★ Must be patient initiated request,

different from Telehealth

★ Marketing blasts to alert patients of the message center to initiate requests

★ Send a personal message on Cases that haven’t been discharged, but no upcoming visit in next 7 days (Work from Case Load). Encourage them to login to Patient Dashboard to communicate questions on their treatment in between scheduled visits

E-Visit Workflow Details

Workflow is most important area of feedback > Use Idea page

Also training and implementation suggestions

Workflow for Messaging Patients, tracking billable time and billing

e-Visits for Therapists

Telehealth vs E-Visit

● Patient Logs into Patient Dashboard and initiates the request.

● Incoming Message is routed from Centralized Patient Dashboard Review list. This is not a Scheduled appointment but a Task is routed to Patty Therapist for response.

● Message Center can be used inside of Raintree instead of Task, Task is only to notify and start/stop new message subjects or threads.

https://drive.google.com/open?id=1s0ACww0iyqhMNlmMg8Hnk3ve6PQmKFWhhttps://drive.google.com/open?id=1s0ACww0iyqhMNlmMg8Hnk3ve6PQmKFWhhttps://drive.google.com/open?id=1L8rw0CIy8c1DEfksdZ28y_EJBD01qFF4https://drive.google.com/open?id=1iJW861rpEOOB5gxRMoYQ2N_Ykv9ufafA

Message is routed via Task to User/ Provider

How Can We Help You Build Your Business?

★ Offer new services to Employers★ More Employer-based Reports and Forms

Upcoming Topics★ Today’s Topic: Business Continuity Q and A★ April 21, 2020 - 8:00 am RTConnect User Group Meeting★ April 21, 2020 - 10:00 am Therapy User Group Meeting★ April 22, 2020 - 10:30 am Billing User Group Meeting★ April 23, 2020 - 10:00 am ABA User Group Meeting★ April 24, 2020 - 8:00 am Pediatric Therapy User Group Meeting★ April 24, 2020 - 9:00 am Self Check-In, Kiosk and Patient Dashboard User Group★ April 28, 2020 - 10:00 am Raintree Live! Ideas In Action★ May 1, 2020 - 8:00 am Raintree Live! Reports Edition

Thank you for attending this event.

We look forward to seeing you next time!