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Naylor & Assoc's CEU By Net is an NBCC Online Home Study CE Provider - accepted in 48 states - and is also a certified CE Provider in Alabama, Texas and California. |
Welcome to an Overview of Naylor & Assoc - CEU By Net's online Continuing Education Courses. We hold CE Provider numbers from California BBS, Alabama, Florida, Texas, and NBCC for Mental Health and Chemical Dependency Treatment professionals (including Texas LCDC). States accepting our NBCC certification include Louisiana, Arizona, Idaho, Iowa, Washington, Wyoming, New Hampshire, Maine, Vermont, Mississippi, New Mexico, North Carolina, Pennsylvania, D.C., New Jersey, Georgia, and most other states and territories.
Our Courses Include Addiction, Ethics, Managed Care, Child and Adolescent Assessment, Audit-Proofing Your Treatment Records, and More!
These continuing education courses are for Social Workers (LCSW, LMSW, LBSW), LPCs, LCDCs, LMFTs, MFTs, LMHCs, LSATs, and other behavioral health practitioners.
Earn fast and easy credits, with 1 to 10 credits per course - instant download and instant certificate. No waiting - for anything. Get 10 Credit Hours for $65.
We now offer fast-paced slide show ETHICS COURSES FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY PROVIDERS (a 4-hour Ethics course and a 3-hour Ethics course) . . . and a new 3-hour Child and Adolescent Mental Health and Substance Abuse Assessment Course that moves you 'Beyond The Yellow Legal Pad'
. . . and a specialized Chemical Dependency Course that will take you through the 'Big Transition' in the Substance Abuse Treatment culture. And other courses for CD-SA too! Texas approves these courses for LCDCs!
And we continue to offer great courses on 'Surviving Those New-Fangled Managed Care Contracts.
We Have Instant Download CE Certificates - Mini-Courses starting at $14.50! Or if you need a lot of hours, try the 'Big One' - 10 fast-paced painless contact hours for ONLY $65! And the 10-credit course is made up of 4 'modules' or 'chapters' - each of which earns a separate certificate which you can claim NOW or LATER - whatever suits you!
We've got dynamic, fast paced online CEUs for Social Workers (LCSW, LMSW, LBSW), Professional Counselors (LPCs, LMHCs, PCs and ACPs), MFTs and LMFTs. Come on in, and welcome to our website.
WANT A FAST NO-FRILLS DESCRIPTION of ALL of our Courses? Just hop on over to our course catalog now and take a look. If you want a detailed look at a given course, just click that course link in the catalog, and we'll bring you right back to that course on this (or another) page. Or, you can just read on, below.
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Need Some Ethics Hours? Get Those
Course 3C - Beyond the Yellow Legal Pad!
Biopsychosocial and Risk Assessment of Children and Adolescents - for Mental Health and Substance Abuse Treatment Professionals, Including Texas' TRAG Providers!
SUMMARY: This course focuses upon a structured, 1-2-3 approach to MH & CD Assessment of minor clients, and it comes with a FREE DOWNLOADABLE ASSESSMENT FORMAT! Addresses dangerous assessment ERRORS to avoid which can result in legal complications and professional liability issues.
Also includes a structured approach to RISK ASSESSMENT of a child or adolescent - including the short, easy-to-use FREE downloadable Risk Assessment Form. Protect yourself from legal vulnerability and critical incidents when working with clients who present a potential for harm to self or others.
And, for you TEXAS professionals, the course and the assessment content FULLY SUPPORT YOUR TEXAS' TDHS TRAG and UA requests for children and adolescents. Be documented beyond question in that child's chart! Get FREE Downloadable Forms which you can tailor to your own needs if you have software to modify pdf documents.
NOTE: This course is a PDF DOCUMENT (Acrobat Reader) - not a slide show like our other courses.
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MiniCourse 1B - 'Managed Care In Public Health Programs: It's Not Your Grandpa's Chevy!' - 1 Credit Hour
What's really CHANGED here? Truthfully? A lot! It's a whole new way to deliver treatment which is HIGH RISK for everyone involved - including the Managed Care Companies!
SUMMARY: An intro to how behavioral health care has changed, and 'why they are doing this to us'. The basic changes that managed care brings to the lives of providers, and a clear picture of what can go wrong in a state's new managed care plan. This is a 1 hour online CE course earning a total of 1 (or 0.1) Continuing Education unit.
MiniCourse 1C - 'Understanding That Capitation Thing - AND How It Impacts Providers!' - 1 Credit Hour
Are there different kinds of Managed Care contracts? Yes indeed. There's The Good, The Bad, and The Ugly - for the Managed Care companies AND for the providers!
SUMMARY: 'Understanding That Capitation Thing - AND How It Impacts Providers!' - Some of the same introductory material as in 1B, but also explains how these managed care contracts work at a practical level - i.e., should providers take on ANY of these high-risk arrangements, working as a provider for an HMO? Or as the 'substitute' for an HMO? What kind of risk are they taking? And can they succeed in any of these arrangements? (Answer: Yes.) Also, 'which' contract designs have 'which' major implications for providers. This is a hour online CE course earning a total of 1 (or 0.1) Continuing Education unit.
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MiniCourse 2B - "They're Coming to Audit WHEN?"
The Managed Care Company's or State's Authorization Process and YOUR Documentation in Client Records .... a.k.a, 'What Can Go WRONG in That Chart?' - 2 Credit Hours
SUMMARY: Presents in a clear, 1-2-3 manor the changes that MH and CD professionals must make in how they DOCUMENT treatment in client records when an Insurance Company is paying for treatment, and the professional and CLINICAL ISSUES this may raise for practitioners.Also provides a clear explanation about HOW those managed care companies make pre-authorization decisions to APPROVE or DENY your requests for treatment . . . and WHAT you must write in the client's chart to support that authorization. It's all about how to ENSURE that you will be ready when the MCO or State auditors appear at your door.
AVOID RECOUPMENT! Failure to properly DOCUMENT the client's treatment and his need for treatment is the primary reason for RECOUPMENT (taking back) of funds already paid to you by the State or the MCO. How we document treatment has CHANGED with the coming of Care Management! This course gives you clear 1-2-3 information about how to document - within the bounds of GOOD PROFESSIONAL PRACTICE.
There's also some introductory material about the goals of Managed Care (such as is found in MiniCourse 1B). This is a 2 hour online CE Course.
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MiniCourse 2C - "We Have To Change WHAT?"
An Introduction to Professional & Clinical Issues In Managed Care - Necessary Shifts in Program Design and Treatment Approach - 2 Credit Hours
- For Mental Health and Addiction Treatment Providers
Will providers HAVE TO CHANGE WHAT THEY ARE DOING NOW? Yes indeed they will - even if they have long since abandoned the old traditional 'talk therapy in the office' approach and the 28 day programs. Learn to THINK LIKE THE MCO (or other health care insurer, which in some cases may be the State or County health unit).
SUMMARY: This course - 'We Have to Change WHAT?' - focuses upon the IMPACT of the new healthcare industry's goals upon providers, both CLINICALLY and FINANCIALLY - Including how Provider Agreements are changing the way that we do treatment, the managed care contractor's search for new providers, the conflict between a provider's own professional beliefs and ethics vs. the insurance company's Care Management decisions about approval or denial of treatment requests.
Some material related to managed care goals and what we write in treatment records overlaps 2B material, but moves ahead to include professional, clinical, and programmatic changes in store for professionals under managed care. Includes some interesting OPTIONS FOR PROVIDERS in the design of their practices and programs, as part of an HMO contract. This is a 2 hour online CE course.
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MiniCourse 3A - Managed Care - Is There Anything GOOD About It?
'The Good, The Bad, and The Ugly of Providing Treatment Under Managed Care - The Perils and The Opportunity.' - 3 Credit Hours
SUMMARY: This MiniCourse 3A takes some content from the MiniCourses 1B and 1C about how managed care plans are designed and the reasons WHY Managed Care has come into play. And then we expand on the clinical opportunities and perils for providers. We attempt to put to rest the question, 'So Is there really anything GOOD about Managed Care for Mental Health and Chemical Dependency professionals?' Oh yes indeed, there is!
We take a look at what contract and treatment opportunities to pursue (and which to avoid) when you work with an HMO or other managed care administrator - what types of treatment fit with a managed care system - and how innovative, non-traditional treatment services (especially for children and adults with major mental illness or dual diagnosis) can be provided under the new managed care models for difficult high-risk clients.
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MiniCourse 3B - 'Substance Abuse and Chemical Dependency Treatment - The Big Transition' - 3 Credit Hours
a.k.a., "The Big Transition in the AOD Field: Assessment of 'Need For Treatment' and 'Treatment Interventions' - How They've CHANGED!'
This CE course - accepted for LCDCs in TEXAS and approved for mental health practitioners in TEXAS and CALIFORNIA - addresses the 'nitty gritty' of major programmatic, therapeutic, and philosophical changes taking place within the traditional Alcohol and Other Drug (AOD) treatment culture, due to a new health care environment. Material applies to single AOD diagnosis and to Dual MH-AOD diagnoses.
The course offers a bird's eye view of how ASSESSMENT of the NEED for TREATMENT - and HOW we DELIVER treatment - have changed under Managed Care and other insurance plans . . . and how to constructively adapt when it's ethically possible.
We also provide an understanding of HOW the MCOs make those treatment decisions for substance abusing and chemically dependent individuals during the CARE MANAGEMENT or Utilization Review (UR) process - and how to ASK for 'WHAT' from the MCO's care manager.
Also, the module shows how to DOCUMENT both your assessment of need for treatment, and the treatment you deliver - in a way that reduces the chances that your paid claims will be 'RECOUPED' by the MCO. Some material is included from MiniCourses 1B and 1C, but this course does it from the AOD perspective.
3B Goals
And elsewhere on our site, for Substance Abuse and Chemical Dependency . . .
Check out our other courses for AOD-CD-SA Treatment Providers, including our 4-Credit Ethics Course 4A written by Gary L. Fisher, Ph.D., longterm operator of Nevada's CSAT Information Technology Transfer Center.
MiniCourse 5B - Managed Care Contract? Survive It!
Where The Rubber Meets The Road: The Nitty Gritty of How To Have More Gain and Less Pain With Those Managed Care Contracts!
Note: This is the same as Module 401 in FlexiCourses 8A and 10A, and it earns five (5) credit hours.
SUMMARY: MiniCourse 5B is an unvarnished, tell-it-like-it-is 'short course' on the PAINS AND THE GAINS that Managed Care holds in store for Mental Health and Chemical Dependency / Substance Abuse treatment providers.Negotiating for great options and needed changes in Provider Agreements, and contract designs that have 'Don't Even Think About It' written all over them. Problem solving with MCOs including how to collect on denied claims. When to say NO to an MCO, when to say YES, and when to say 'How about if I do THIS?' And Quality Management red flags to avoid.
This is not just a tutorial on 'doing business' with a Managed Care Company. It presents the clinical conflicts and stresses that come with delivering care under a managed care model . . . and some viable clinical options that providers may seek to negotiate with an MCO, which can give the provider greater clinical autonomy in treatment decisions.
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ABOUT FLEXICOURSES
Interested in a course with MULTIPLE CERTIFICATES which you can claim (all or part) now or ANYTIME WITHIN THE NEXT 12 MONTHS, as you need them - with COST SAVINGS built in? How about 10 CREDIT HOURS for just $65.00 - with 4 certificates that you can collect whenever you need them, over the next year? See this one and MORE of our FLEXICOURSES, down below.
FLEXICOURSES! Our FlexiCourses contain from 2 to 4 'chapters' each, and each chapter grants a separate certificate. You SAVE MONEY when you purchase a FlexiCourse.
FlexiCourse 4A awards 4 CEU hours in two (2) certificates - $32.00
FlexiCourse 5A awards 5 CEU hours in three (3) certificates - $42.50
FlexiCourse 8A awards 8 CEU hours in two (2) certificates - $47.50
FlexiCourse 10A awards 10 CEU hours in four (4) certificates - just $65.00!
Want a FAST DESCRIPTION of what our FlexiCourses cover? Just click a link above, and we'll take you to our course catalog for a NO-FRILLS DESCRIPTION OF THE COURSE. If you want to know more, then just click the 'course name' link in the catalog and we'll take you a details page.
to FlexiCourses in the Course Catalog
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Our MANAGED CARE courses [see Managed Care Catalog] focus upon the oftentimes 'nerve-wracking' scenarios brought about by the new 'Managed Health Care' scene - and might well be called 'Quick and Easy Recipes for Managed Care Success' . . . or 'How To Survive It', depending upon your mood!
- WELCOME TO CARE MANAGEMENT! - Managed Care requires a significant shift in treatment approach - with new approaches to programming and to documentation of the treatment you do. And you have to play 'Mother May I?' with the managed care company. Here's how.
- WHERE THE RUBBER MEETS THE ROAD - our 'Contract Survival Crib Sheet' . . . How to AVOID those 'duh!' PROVIDER ERRORS which can COST you big bucks in claims collection. How to COLLECT YOUR MONEY when the MCO or other insurance manager has erroneously DENIED YOUR CLAIM. What to be aware of, when working out CONTRACT details with a managed care company - as in 'the potholes' and the 'good stuff. When to say NO, when to say YES, and when to say 'How about if I do THIS?'
- Specific, detailed information about how to be prepared for announced or unannounced TREATMENT RECORD AUDITS, well before the insurer or the State audit team walks in the door or calls for a client's chart.
- How to 'THINK LIKE AN MCO' or any OTHER INSURER of the behavioral health care you deliver! VERY relevant when you are requesting and documenting Mental Health and Addiction treatment within a managed system of care.
- The four 'CORE CONCEPTS' that drive the CARE MANAGEMENT DECISIONS of the insurer (HMO, MCO, BHO, the State, the Medicaid manager, etc.) - and how YOU can use them to get what you want for your clients.
- How to AVOID CHARGE-BACKS (recoupment of money already paid to you by the Managed Care Company).
- How to adjust traditional CHEMICAL DEPENDENCY treatment practices to a new type of health care delivery.
-The professional, organizational, and CLINCIAL CHANGES required of treatment providers under a managed care contract - with additional detail on this subject beyond what's in our FlexiCourses.
- Understanding the issues and problems of RISK BASED MANAGED CARE CONTRACTS - and what IS the 'risk' that they keep talking about? And is the PROVIDER AT RISK, too - or is it just the Managed Care Company?
***** And if you want 10 CREDIT HOURS FOR ONLY $65, try 'Managed Care - The Big Course'.
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GOALS OF COURSES
Below, we've summarized the goals of each MiniCourse. MiniCourses offer from 1 to 5 credit hours. (NOTE: For a description of our multi-certificate FlexiCourses, offering from 4 to 10 Credit Hours per course, go here.)
MiniCourse 1B - "Managed Care in Public Programs - It's Not Your Grandpa's Chevy!"
1 CREDIT HOUR - Goals for 1B
1. Intro to Goals and Objectives of Behavioral Health Managed Care - a.k.a. 'Why Are They Doing This To Us?'
2. Intro to clinical concerns & opportunities for professionals under a Managed Care plan
3. 'What Can Go WRONG' in a State's Managed Care plan, for the Managed Care Company AND for the provider.
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MiniCourse 1C - "Understanding That MCO 'Capitation' Thing - and HOW It Impacts Providers!"
1 CREDIT HOUR -
1. Understanding The Impact Of This New Health Care Approach Upon Providers and Clients - It's Called 'Care Management'!
2. Review of Risk Based Contracts -- and How Providers Can Adjust Constructively.
3. Several Creative Service Delivery Approaches Which Promote Greater Autonomy In Programming For Mental Health And CD/SA Clients Providers.
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MiniCourse 2B - "They're Coming to Audit WHEN?"
2 CREDIT HOURS - Goals for 2B
1. Understanding how the health care company or manager 'thinks' - e.g., what is 'medical necessity of treatment' at a PRACTICAL level . . . how and why they make those sometimes frustrating treatment decisions that may conflict with our clinical beliefs about what is needed for effective treatment to occur.
2. The four 'core concepts' used by managed care companies or other Care Managers when they audit your charts for compliance with Level of Care (LOC) criteria.
3. Five specific approaches to documentation which support good clinical records and positive audit outcomes.
4. Holes and gaps in charts - 12 specific categories of documentation issues which can result in audit failure (with examples!)
5. The goals of managed care - why are they doing this to us? and the implications of these goals for providers, both clinical and financial.
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MiniCourse 2C - "We Have to Change WHAT?"
2 CREDIT HOURS - Goals for 2C
1. Overview of basic goals of managed care -- 'Why are they doing this to us?'
2. Understanding the impact of the new healthcare industry goals upon us, the providers.
3. How to think like a managed care company or Care Management Organization (it's essential for survival) - an overview of the Care Management (Utilization Management) process and their criteria for approval of treatment - including the four core concepts that drive those 'level of care' (LOC) decisions!
4. How the managed care company's RISK affects providers in their clinical operations -- the positives and the challenges, as well as specific examples of creative ways that we can serve our clients under a Managed Care contract - exciting options such as CASE RATES, and some 'front end services' contracts
5. Provider networks as a way to survive the shifts
6. Concerns of the National Alliance for the Mentally Ill (NAMI) about Quality of Care under a Managed Care plan. Includes the link to the '2006 NAMI 'Report On The States' - the states' report card
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MiniCourse 3A - "Managed Care - Perils and Options for YOU!"
3 CREDIT HOURS - Goals for 3A
1. Intro to goals and objectives of managed care - a.k.a. 'Why are they doing this to us?'
2. The Good, The Bad, And The Ugly of managed care plans, and how to adapt.
3. The nitty gritty of how providers are affected by this major shift in health care delivery - clinically and financially.
4. Understanding what to go after (and what to avoid!) when you contract with an HMO or other managed care company . . . what types of treatment fit with a managed care system - and how innovative, non-traditional services can be provided under the new managed care models for difficult high-risk clients.
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MiniCourse 3B - "SA-CD, The Big Transition"
3 CREDIT HOURS - Goals for 3B
1. Understanding how working under an insurance contract or 'care management' system affects how we deliver treatment to chemical dependency clients. It's quite a change from our TRADITIONAL way of delivering treatment under state and federal addiction block grants!
2. The philosophical and practical shifts imposed upon our traditional addiction programming, brought about by managed systems of care.
3. Required shifts in the way treatment is documented.
4. Some workable and creative treatment options which addiction services providers can negotiate with MCOs and other health care insurers, which give the provider greater autonomy in treatment decisions.
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MiniCourse 3C - "Beyond the Yellow Legal Pad - Biopsychosocial and Risk Assessment of Minors"
3 CREDIT HOURS - Goals for 3C
1. Learn the 5 primary ASSESSMENT ERRORS which auditors and legal representatives find in assessments of children and adolescents, which can cause the assessing professional grief in multiple ways.
2. Presenting two very different types of ‘child and adolescent assessments’: (1) a structured RISK ASSESSMENT for use in crisis situations involving potential-for-harm, which will provide good protection for you in an adverse legal situation, and (2) a structured, comprehensive BIOPSYCHOSOCIAL ASSESSMENT which covers the assessment ‘essentials’ INCLUDING a Mental Status Exam.
3. Understanding the reasons WHY it is unwise to 'wing it' when assessing minors - such as using an unstructured assessment approach and no standard assessment protocol.
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MiniCourse 5B - "Managed Care Contract? Survive It!"
5 CREDIT HOURS - Goals for 5B
1. Contracting Issues that Affect How You Deliver Treatment, Who You Are Allowed to Treat, and What You Are Paid For It - including Provider Agreements that are fairly safe vs. those which have 'Don't even think about it!' written all over them.
2. Understanding How The Managed Care Company Thinks - What Is 'Medical Necessity of Treatment' At A Practical Level . . . i.e., how and why they make those sometimes frustrating treatment decisions that may conflict with our clinical beliefs about what is needed.
3. The Four Core Concepts Used By The MCO When They Audit Your Treatment Records For Compliance With 'Level of Care' (LOC) Criteria - and how you can apply this knowledge to adjust what you write in treatment records.
4. What to do about erroneous CLAIMS DENIALS, and how to AVOID making the errors that cause providers to lose authorization to provide treatment.
5. How The MCO's RISK Affects Providers In Their Clinical Operations - the upside and the downside . . . as well as specific EXAMPLES of creative ways that we can serve our clients under a Managed Care Contract.
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CEU By Net's 24/7 Online Continuing Education website provides online CEU Courses for mental health and chemical dependency professionals, and instant downloadable and printable CE Certificates.
Our courses are APPROVED by the NBCC, the State Boards of Texas, Alabama, and California (Board of Behavioral Sciences), and are accepted in Florida, Arizona , Idaho, District of Columbia, Alabama, Georgia, Indiana, and Virginia for designated licenses including LPC, LCSW and other social workers, LMFT, LCPC, LSAT, CI, APC, LMHC, etc. - and by all other States which accept NBCC approved courses, including Louisiana, Mississippi, New Mexico, North Carolina, North Dakota, Iowa, Illinois, Washington, Wyoming, New Hampshire, Maine, Vermont, Pennsylvania, Nebraska, New Jersey, etc..
Other States may approve our courses because we are certified by the CALIFORNIA BOARD OF BEHAVIORAL SCIENCES for MFTs and LCSWs, and by the Texas State Boards which regulate Social Work (LCSW, LMSW, LBSW), Licensed Professional Counselors (LPC), Marriage and Family Therapists (LMFT), and LCDCs. Check with YOUR state board regarding approval of our dynamic Continuing Education (CEU) Courses!
Naylor and Associates - CEU By Net!
Providing Dependable and Affordable Online Continuing Education
For Discriminating Behavioral Health Professionals
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