Multi-Certificate FlexiCourses
[Note: The 'number' in the course designation - e.g., 3C or 3F - denotes the number of credit hours awarded for the course.]
Just click the + sign next to any course that you want to know more about, below.
Note: On this site, 1 CEU = 1 CE Credit Hour = 1 Clock Hour of CE Credit.
It's only $59.95 for an entire year of unlimited CE Courses and CEUs.
The three FlexiCourses listed below feature multiple certificates in each course. Why? Each of these FlexiCourses have multiple modules or chapters - and each chapter earns a separate certificate. Examples: FlexiCourse 10A earns 10 Credit Hours, reflected in multiple certificates (two 2-hour certificates, one 3-hour certificate, and a 5 hour certificate). FlexiCourse 4A earns 4 credit hours in two separate 2-hour certificates.
You can earn all the certificates associated with a course right now - or you can take up to a year to claim one or more of the certificates. (How to do that? Just don't take the quiz for a module until you want to claim the certificate.) The FlexiCourses are described below - just click and read.
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FlexiCourse 10A - The Big Course On Managed Care For Professionals |
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FlexiCourse 10A - The Big Course On Managed Care for Professionals (Modules 101, 201, 301, & 401)
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$40.00 for 10 CLOCK HOURS OF CE CREDIT. This is a 4-module FlexiCourse totaling 10 credit hours. This means that the course is comprised of 4 SEPARATE MODULES (or chapters) 101, 201, 301, and 401 - EACH of which awards 1 certificate. 101 awards 2 Credit Hours; 201 awards 2 Credit Hours; 301 awards 1 Credit Hour; and 401 awards 5 Credit Hours. Collect all 4 certificates now, or save some for later - your choice!
FlexiCourse 10A is a fast-paced slide-show course which pulls together the material found within our FlexiCourses 4A and 5A, and our Course 5B. Do NOT take Course 4A or 5A or Course 5B IF you take this course.
SO WHAT'S IN HERE? In short, a fast-paced ride through The Good, The Bad, and The Ugly of providing behavioral health services within the new managed care environment. This is NOT a business course on how to get a contract finalized with an HMO or MCO. It's an unvarnished view of what has CHANGED - professionally and programmatically - for MH and CD providers [whether they be private practitioners or employees of Community Mental Health Centers or AOD Treatment Programs] with the coming of managed care.
Take a look at some some positive, CREATIVE ways that PUBLIC AND PRIVATE SECTOR providers can ADD certain cost effective program services to their basic Provider Agreements with a Care Management Company or insurance panel or your state contractor. How to deal with such contract administrators (both before and after the ink on your Agreement dries). How to adjust your program and your practice approach. When to say YES to the Health Plan Administrator. When to say NO. And when to say 'How about if I do THIS, instead?' - YES! Alternative Services - Creative Non-Traditional Services - are IN.
We include a few notes on how to COLLECT YOUR MONEY when the contract manager has denied a claim erroneously - including denial of payment due to loss of authorization to provide services (because of clinical issues, such as diagnosis, or a belief that your client does not require the services you have provided). Some notes on avoiding those 'duh'-type errors that may produce a claim denial.
Throughout the course, you will get a clear view of the primary PROFESSIONAL and CLINICAL issues -- and the necessary shifts in PROGRAM DESIGN, TREATMENT APPROACH, and PERCEPTION of WHO NEEDS WHAT TREATMENT AND FOR HOW LONG -- which we must address in order to survive these shifts in the delivery system..
NOTE: This course will give you a good idea of how the Care Management (treatment approval) process works (i.e., how they make those treatment decisions - how they THINK regarding WHO needs WHAT treatment). However, you will get more detailed information about how to translate that awareness into appropriate and effective DOCUMENTATION in clients' clinical treatment records, and how to communicate with Care Managers, in Courses 2B and 2C. In 2B and 2C you will also get very specific details regarding how to formulate clinical documentation in a manner which helps you to PASS A RECORDS AUDIT without significant issues.
NOTE: If you have NO interest in pursuing or working under contract with a Managed Health Care Company or a commercial insurance panel or an EAP provider panel or other such administrator, this course will probably not meet your needs. But if publicly financed programs such as Medicaid or CHIP are in [or coming to] your area of the country - or if Commercial Insurance Panels or EAP Service Companies are on your agenda, and you are looking for some element of CONTROL over what you do for them and for your clients - then this course is for you!
GOALS:
GOALS OF THIS COURSE:
Module 101:
1. Intro to Goals and Objectives of Behavioral Health Care Reform (a.k.a., Managed Care, or Managed Systems of Care) - 'Why Are They Doing This to Us?'
2. Understanding 'RISK BASED' MANAGED CARE Plans - 'Capitation' Contracts (The Primary Type Of State-Managed Health Care Contract Including Medicaid) - And How This New Health Care System Impacts Providers and Their Clients
3. What Can Go Wrong - At Both The Contractor End And The Provider End with Delivery of Behavioral Health Services Within a Managed System of Care?
Module 201:
1. Continuation - Understanding the Impact of The New Healthcare System (Managed Behavioral Health Care) Upon Providers and Their Clients
2. How to Adapt in Your Programs and Practices.
3. Several Creative Service Delivery Options For Service Providers - Get More Autonomy In Programming for MH and CD Clients
4. The Four Core Elements Determining Approval of Service Requests During the Care Management Process
Module 301: “Professional and Clinical Issues in Managed Care – Intro to The Necessary Shifts in Program Design, Treatment Approach Under a 'Level of Care' System, and Documentation In Clients' Records.”
1. Understanding the impact of this new health care approach upon providers - it's called 'Care Management'!.
2. Review of 'What's a Capitation Contract' - a primary type of managed care contract. Can it possibly work? Yes.
3. Understanding other variations on the Managed Care theme, and their impact on the care that you provide to your clients.
4. Review of how the 'Care Management' process affects the way that we deliver services to Mental Health and Substance Abuse Clients, through the "Four Core Principles of Care Management".
MODULE 401:
1. Review of "How The Managed Care Company Thinks - What Is 'Medical Necessity of Treatment' At A Practical Level"
2. Why DOCUMENTATION in your clients' records must reflect the 'Level of Care’ decision factors.
3. How to work effectively within a MCO Care Management system and contract - how to deal with multiple issues which affect the treatment we are allowed to provide to clients and the funding we receive to do it.
4. how to AVOID making ERRORS that cause providers to lose AUTHORIZATION to provide treatment.
5. Expansion of examples of creative ways we can serve CD and MH clients under a Managed System of Care.
10 (or 1.0) CE credits for $40.00
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IMPORTANT NOTE: If you buy this FlexiCourse 10A, please be aware that the material you find here is ALSO present in FlexiCourses 4A and 5A, and in courses 3A, 1B, 1C, and 5B. Why's that? 10A is essentially a BLEND of information found in these 6 courses - the big picture about Managed Care. (See all 4 module descriptions below).
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Module 101 - FlexiCourse 10A
Managed Care in Public Programs: It's Not Your Grandpa's Chevy! Expect to read an overview of the new managed care system which answers the question, 'What in the Heck Are They Doing?'
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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Module 201 - FlexiCourse 10A
The Good, The Bad, and The Ugly - Understanding That HMO 'Capitation' Thing, It's Impact Upon YOU. And then the FOUR CORE CLINICAL CONCEPTS That Guide Care Management Decisions - i.e., WHAT determines whether your patient gets the treatment you are requesting, or not?.
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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Module 301 - FlexiCourse 10A
Playing 'Mother May I?' with the MCO. More On Care Management .... and Alternative Services. How to get OUT OF THE BOX with the managed care contractor. How to get their approval to do something different ..... something creative and effective with your clients?
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Earn a certificate for 1 or 0.1 credits immediately upon completion of this module.
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Module 401 - FlexiCourse 10A
This module 401 of the Big Course 10A, is the SAME material that's found in Course 5B - Where The Rubber Meets The Road: How To Have More Gain and Less Pain with Those Managed Care Contracts, From The Start To All The Rest. IF you want all the background on why they are doing what they are doing, and more of the clinical pieces of this puzzle, take the whole Course 10A. If that's too much to swallow all at once, jump over to Course 5B in this managed care catalog (and also 2B and 2C for a good grasp.of the clinical issues).
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Earn a certificate for 5 or 0.5 credits immediately upon completion of this module.
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FlexiCourse 5A - Welcome to Care Management! Do They REALLY Need Treatment? |
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FlexiCourse 5A - Welcome to Care Management! a.k.a., 'Do They REALLY Need Treatment?'
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$28.00 - [5 CLOCK HOURS OF CE CREDIT total, in 3 CERTIFICATES - two 2-credit hour modules, and one 1-credit hour module]
The stress for today's Mental Health and AOD treatment providers can be intense, primarily because approval to provide treatment no longer rests with the provider. Coping with this fact requires a significant SHIFT in how we ASSESS a client's NEED FOR TREATMENT, in how we REFER clients for treatment services, and in the APPROACH that is taken in both Mental Health and AOD services. Why is this? Because treatment options are more tightly controlled that ever before.
This course provides a clear view of HOW and WHY the HMOs-MCOs and other insurance companies or contract managers make those sometimes-vexing treatment authorization decisions (a process called CARE MANAGEMENT or UTILIZATION REVIEW).
Understanding these issues opens the door to obtaining AUTHORIZATION for initial and continued treatment. How do you build your case for a particular treatment option, given the tight Care Management criteria? Are there new program approaches (including step-down services and case rate packages) that your program can try, when the traditional services such as 28-day programs and Partial Hospitalization are rarely approved? Yes.
This course applies to both Mental Health and Chemical Dependency (Addiction) Service Providers - including EAP professionals who must make daily decisions about whether or not to refer their clients for more intensive longer term treatment, and if so, where and for what? Included are new perspectives on documenting intervention, counseling and treatment. How to successfully play 'Mother May I?' with the Health Plan contractor. How to be maximally EFFECTIVE and avoid much frustration, through changes in PROGRAM DESIGN and APPROACH to our clients' issues.
GOALS OF THIS COURSE:
Module 101:
1. Intro to Goals and Objectives of Behavioral Health Care Reform (a.k.a., Managed Care, or Managed Systems of Care) - 'Why Are They Doing This to Us?'
2. Understanding 'RISK BASED' MANAGED CARE Plans - 'Capitation' Contracts (The Primary Type Of State-Managed Health Care Contract Including Medicaid) - And How This New Health Care System Impacts Providers and Their Clients
3. What Can Go Wrong - At Both The Contractor End And The Provider End with Delivery of Behavioral Health Services Within a Managed System of Care?
Module 201:
1. Continuation - Understanding the Impact of The New Healthcare System (Managed Behavioral Health Care) Upon Providers and Their Clients
2. How to Adapt in Your Programs and Practices.
3. Several Creative Service Delivery Options For Service Providers - Get More Autonomy In Programming for MH and CD Clients
4. The Four Core Elements Determining Approval of Service Requests During the Care Management Process
Module 301: “Professional and Clinical Issues in Managed Care – Intro to The Necessary Shifts in Program Design, Treatment Approach Under a 'Level of Care' System, and Documentation In Clients' Records.”
1. Understanding the impact of this new health care approach upon providers - it's called 'Care Management'!.
2. Review of 'What's a Capitation Contract' - a primary type of managed care contract. Can it possibly work? Yes.
3. Understanding other variations on the Managed Care theme, and their impact on the care that you provide to your clients.
4. Review of how the 'Care Management' process affects the way that we deliver services to Mental Health and Substance Abuse Clients, through the "Four Core Principles of Care Management".
5 (or 0.5) CE credits for $28.00
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This FlexiCourse 5A extracts Modules 101, 201, and 301 from our Big Managed Care Course 10A. Specifically: 5A contains both of the modules found in FlexiCourse 4A (101 and 201), and the first three modules found in FlexiCourse 10A (101, 201, and 301). Recommendation: To avoid reviewing duplicate materials, if you purchase FlexiCourse 5A, DO NOT purchase FlexiCourse 4A as you will be reviewing duplicate modules.
SUGGESTION: If you want all of the materials found in FlexiCourse 10A, you can purchase 10A .... OR you can purchase FlexiCourse 5A and Course 5B at the same time or at different times. [5B contains the materials found in Module 401 of 10A].
Also be aware that 5A contains some material also found within a few of our smaller courses, e.g., 1B, 1C, 2B, 2C, and 3A - although the concepts in these smaller courses may be presented with a bit of a different slant or with more detail - which may enrich your perspective and your absorption of these concepts!
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Module 101 - FlexiCourse 5A
Managed Care and Health Care Reform: It's Not Your Grandpa's Chevy!
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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Module 201 - FlexiCourse 5A
The Good, The Bad, and The Ugly - Including Good and Bad Service Options for Providers
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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Module 301 - FlexiCourse 5A
Welcome to Care Management! More On the Professional & Clinical Issues - How Care Managers Make Those Treatment Decisions, and How to Deal With It.
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Earn a certificate for 1 or 0.1 credits immediately upon completion of this module.
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FlexiCourse 4A - This Is Managed Behavioral Health Care - and Its Impact on YOU! |
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FlexiCourse 4A - This Is Managed Behavioral Health Care - and It's Impact on YOU! ('The Little Managed Care Course' Modules 101 & 201)
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$26.00 - [EARNS 4 CLOCK HOURS OF CE CREDIT] This course is presented in TWO MODULES or chapters, each earning 2 Credit Hours (FOR A TOTAL OF 4 Credit Hours). Earn both certificates now for 4 credit hours, or save one for later, to use anytime in the next year.
What's in this course? It's a straight-forward view of WHAT HAS CHANGED for Mental Health and AOD service providers with the coming of health care reform (aka, managed care, or managed systems of care). These changes include what can go wrong in the State's or other major contractor's design of its plans from the perspective of service delivery and its impact upon consumers and providers, and a heads-up on some of the problems and issues encountered in some Provider Agreements. It's an introduction to the clinical and programmatic adjustments we must make in how we support, refer to, and provide intervention and treatment services. Also presents an intro to some POSITIVE, CREATIVE ways that providers can add important services to their basic agreements with insurance companies and EAP Providers, including Intensive Case Management - a service often provided by EAPs, Community Mental Health Centers, and Chemical Dependency Treatment Programs. These options clearly affect the way that we can deliver services to difficult or high risk individual clients.
Of great significance to treatment providers, is the issue of HOW the insurance companies make decisions about approval or denial of care, i.e., Care Management. There are FOUR CORE PRINCIPLES that impact CARE MANAGEMENT decisions, and this course explains these clearly. Understanding these Core Principles of Care Management is crucial to how effectively we communicate our clients' need for treatment (verbally AND in the client's written record of treatment) including what type of treatment is needed, how much and for how long, their response to treatment, and the need for continued treatment. This course seeks to provide the understanding of these Core Principles. These Core Principles are very important for all providers - even for EAP providers who may not deliver the treatment services themselves, but must be able to make effective REFERRALS for treatment which will be approved.
NOTE: This course extracts Modules 101 and 201 from our Big Managed Care Course 10A. This course also has some of the material from Courses 1B, 1C, 3A and 5A. So if you take this course 4A, don't take 1B, 1C, 3A, 5A or 10A, because some of the material would be repetitive.
GOALS OF THIS COURSE:
Module 101:
1. Intro to Goals and Objectives of Behavioral Health Care Reform (a.k.a., Managed Care, or Managed Systems of Care) - 'Why Are They Doing This to Us?'
2. Understanding 'RISK BASED' MANAGED CARE Plans - 'Capitation' Contracts (The Primary Type Of State-Managed Health Care Contract Including Medicaid) - And How This New Health Care System Impacts Providers and Their Clients
3. What Can Go Wrong - At Both The Contractor End And The Provider End with Delivery of Behavioral Health Services Within a Managed System of Care?
Module 201:
1. Continuation - Understanding the Impact of The New Healthcare System (Managed Behavioral Health Care) Upon Providers and Their Clients
2. How to Adapt in Your Programs and Practices.
3. Several Creative Service Delivery Options For Service Providers - Get More Autonomy In Programming for MH and CD Clients
4. The Four Core Elements Determining Approval of Service Requests During the Care Management Process
4 (or 0.4) CE credits for $26.00
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This FlexiCourse 4A extracts Modules 101 and 201 from our Big Managed Care Course 10A. Specifically: 4A contains the first two modules found in FlexiCourse 10A (101 and 201). To avoid reviewing duplicate materials, if you purchase FlexiCourse 10A, DO NOT purchase FlexiCourse 4A as you will be reviewing duplicate modules.
Also be aware that 4A contains some material also found within a few of our smaller courses, e.g., 1B, 1C, and 3A - although the concepts in these smaller courses may be presented with a bit of a different slant or with more detail - which may enrich your perspective and your absorption of these concepts!
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Module 101 - FlexiCourse 4A
Managed Care and Health Care Reform: It's Not Your Grandpa's Chevy!
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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Module 201 - FlexiCourse 4A
The Good, The Bad, and The Ugly - Including Good and Bad Service Options for Providers
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Earn a certificate for 2 or 0.2 credits immediately upon completion of this module.
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