The system shall track clearing of Medicaid share of H cost for both MH and non-MH services and coordinate with State annual UMDAP requirements. H The system immediately update and report client/patient financial accounts to include cost. H The system shall immediately update and report client/patient financial accounts to include The system shall be able to generate an Advanced H Beneficiary Notice (ABN) and to document the consumers receipt of the ABN. Determining Client’s Fulfillment of Share of Cost: Automatically calculating a client's total payments made toward his/her account and indicating to what extent payments made fulfill their share of H The system shall automatically apply a client's payment history against their share of cost. The system shall automatically calculate a client's H fulfillment of their share of cost. Calculating Sliding Fee: Automatically calculating a client's fee on the basis of client income and number of people applied to a standard (full) fee schedule. H The system shall permit a variety of client/patient income verification practices depending upon the service or program parameters. The system automatically calculate sliding fees. H Generating Advanced Beneficiary Notices (ABNs): Generating ABNs and tracking whether client signatures have been obtained. ABNs mostly include standard language but include some client-specific information such as name and medical record number. The system shall automatically generate Advanced H Beneficiary Notices (ABNs) for Medicare beneficiaries. The system shall automatically populate Advanced H Beneficiary Notices (ABNs) with client name and Medical record number. Specifications PRI MU RESP Included Add'l No Comments Cost Screenings / Assessments / Evaluations: Screenings, assessments, and evaluations are tools used by service providers to determine the current condition (e.g., psychological, psychiatric, medical, emotional, severity of abuse) of a client across a variety of parameters for the purpose of deciding appropriate intervention, treatment, and follow-up. Review eligibility for appropriate program(s) or service(s). Assessments and evaluations provide information on persons who likely or definitively have a behavioral health problem and/or substance abuse problem. Assessments and evaluations may be periodically re-administered to ensure that
The system shall track clearing of Medicaid share of cost for both MH and non-MH services and coordinate with State annual UMDAP requirements. H The system immediately update and report client/patient financial accounts to include H The system shall immediately update and report client/patient financial accounts to include H The system shall be able to generate an Advanced Beneficiary Notice (ABN) and to document the consumers receipt of the ABN. H Determining Client’s Fulfillment of Share of Cost: Automatically calculating a client's total payments made toward his/her account and indicating to what extent payments made fulfill their share of cost. The system shall automatically apply a client's payment history against their share of cost. H The system shall automatically calculate a client's fulfillment of their share of cost. H Calculating Sliding Fee: Automatically calculating a client's fee on the basis of client income and number of people applied to a standard (full) fee schedule. The system shall permit a variety of client/patient income verification practices depending upon the service or program parameters. H The system automatically calculate sliding fees. H Generating Advanced Beneficiary Notices (ABNs): Generating ABNs and tracking whether client signatures have been obtained. ABNs mostly include standard language but include some client-specific information such as name and medical record number. The system shall automatically generate Advanced Beneficiary Notices (ABNs) for Medicare beneficiaries. H The system shall automatically populate Advanced Beneficiary Notices (ABNs) with client name and Medical record number. H Specifications PRI MU RESP Included Add'l Cost No Comments Screenings / Assessments / Evaluations: Screenings, assessments, and evaluations are tools used by service providers to determine the current condition (e.g., psychological, psychiatric, medical, emotional, severity of abuse) of a client across a variety of parameters for the purpose of deciding appropriate intervention, treatment, and follow-up. Review eligibility for appropriate program(s) or service(s). Assessments and evaluations provide information on persons who likely or definitively have a behavioral health problem and/or substance abuse problem. Assessments and evaluations may be periodically re-administered to ensure that
SAMPLE-EHR-Requirements-Template-Nov-2012.docx