Real Recovery. Not Rehab. Focused on YOU!
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1 Real Recovery. Not Rehab. Focused on YOU! Week 4 Assignment 1: HealthCrystal J. Evans Week 4 Assignment 1: Healthcare Setting Presentation Elyse Conley-Oliver, MA, RHIA Instructor care Setting Presentation
2 Legacy Freedom Treatment Centers (877) Locations: Asheville, NC Greensboro, NC Charlotte, NC Raleigh, NC Columbus, OH, We serve: Rock Hill, South Carolina (Psychology Today, 2017). Qualifications Years in Practice: 2 Years License No. and State: MHL North Carolina ( Legacy Freedom, on Psychology Today website, 2017)
3 Distinguishing Features The Legacy Freedom Treatment Center (2017) maintains: When it comes to recovery from substance abuse or mental health issues, there is no substitute for individual care and a customized treatment program. Its specialties include: Substance Abuse Drug Abuse Alcohol Abuse Moreover, client focus is: Adolescents / Teenagers (14 to 19) Adults Alternative Languages: Italian
4 Issues Treated & Finances Issues Addiction Anger Management Anxiety Bipolar Disorder Child or Adolescent Chronic Relapse Codependency Coping Skills Depression Divorce Dual Diagnosis Emotional Disturbance Life Coaching Self Esteem Stress Trauma and PTSD ( Legacy on Psychology Today, 2017). According to the 2017 Legacy Freedom Webpage on the Psychology Today website: Out / Inpatient Intensive Outpatient Program Outpatient Finances Accepts Insurance: Yes Accepted Payment Methods: ACH Bank transfer, American Express, Cash, Check, Discover, MasterCard, PayPal, Visa, Wire Accepted Insurance Plans...most other insurance providers Aetna BlueCross and BlueShield Cigna UnitedHealthcare
5 Person-Centered Care Not a 12-Step Program Founded to give every person a chance for full recovery from substance abuse and other mental health issues. Multiple Treatment orientations
6 Modalities Therapies Adventure Therapy Acupuncture Therapy Aromatherapy Chemical Dependency Discharge/Aftercare Equine Assisted EMDR Therapy Inner Child Life/Purpose Coaching Meditation Therapy Nutritional Therapy Physical Therapy Psychotherapy Sound Therapy Tai chi Yoga (Legacy Freedom, 2017) Treatment Orientation Coaching Cognitive Behavioral (CBT) Dialectical (DBT) EMDR Family Systems Gestalt Intervention Neuro-Linguistic Relational Modality Individuals Family Group ( Legacy Freedom on Psychology Today, 2017)
7 Treating Addictions from the Inside Out! Addictions Alcohol Marijuana Cocaine and Crack Cocaine Methamphetamine Heroine Inhalants Sedatives Barbiturates Stimulants Adderall, Ritalin, etc. Painkillers Vicodin, Oxycontin, etc. Benzodiazepines Valium, Xanax, Diazepam, Klonipin, etc. Gambling Addiction Sex Addiction Gambling Addiction Other Addictions: Shopping, Gaming, Food, etc.
8 Mental Health Facilities Defined According to Peden (2012, p. 222): Outpatient mental health facility A facility where clients receive regularly scheduled outpatient mental health treatment Inpatient Psychiatric Hospital A facility providing long-term inpatient treatment for persons whose symptoms do not sufficiently respond to medication to allow them to live successfully in a less restrictive environment The Freedom legacy Facility is both!
![Health Record Regulations According to SAMSHA (2017): Must meet HIPAA guidelines Alcohol and Drug Abuse Patient Records Privacy Law [...] comply with Federal[1] and State laws.[2] (CMS, 2015).](/docs-images/78/76914646/images/9-0.jpg "These laws require practitioners to maintain the records necessary to fully disclose the extent of the services, care, and supplies furnished to beneficiaries,[3] as well as support claims billed.")
9 Health Record Regulations According to SAMSHA (2017): Must meet HIPAA guidelines Alcohol and Drug Abuse Patient Records Privacy Law [...] comply with Federal[1] and State laws.[2] (CMS, 2015). These laws require practitioners to maintain the records necessary to fully disclose the extent of the services, care, and supplies furnished to beneficiaries,[3] as well as support claims billed. In addition, proper documentation help protect a behavioral health practitioner from challenges to furnished treatment, and civil, criminal, and administrative penalties and litigation.
10 Additional Record Requirements According to CMS (2015), documented services must: Meet that State s Medicaid program rules; To the extent required under State law, reflect medical necessity and justify the treatment and clinical rationale (remember, each State adopts its own medical necessity definition);[4] To the extent required under State law, reflect active treatment; Be complete, concise, and accurate, including the face-to-face time spent with the patient (for example, the time spent to complete a psychosocial assessment, a treatment plan, or a discharge plan); Be legible, signed, and dated; Be maintained[5] and available for review; and Be coded correctly for billing purposes.
![EHR Requirements CMS (2015) states (p. 2): [...] The unique nature of EHRs requires extra precautions. Make sure auto-fill and keyword features are turned off.](/docs-images/78/76914646/images/11-0.jpg "Watch for cloned notes notes that appear identical for different visits; these may not reflect the uniqueness of the encounter or the patient s description of their chief complaint.")
11 EHR Requirements CMS (2015) states (p. 2): [...] The unique nature of EHRs requires extra precautions. Make sure auto-fill and keyword features are turned off. Watch for cloned notes notes that appear identical for different visits; these may not reflect the uniqueness of the encounter or the patient s description of their chief complaint. Make sure all notes have a date and time stamp, even when updating patient history and life events. Separate notes entered at different times by paragraph returns or other clear punctuation or spacing. Make sure any edits to the patient s record are also initialed or identified with the person making the edit.
12 Governing Bodies/Accreditation Inpatient facilities are accredited by: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (South Carolina Department of Mental Health, 2017; Peden, 2013). Some accredited through Commission on Accreditation of Rehabilitation Facilities (CARF) for day-programs/outpatient. South Carolina Department of Mental Health through SC Mental Health Commission for both types of facilities (SC Department of Mental Health, 2017, Laws ).
13 Conclusion Mental health Facilities are unique They have unique requirements for medical records Intersecting oversight for mental health providers and facilities Must still prove medical necessity and justify treatment protocol.
14 References Center for Medicare & Medicaid Services [CMS] (2015). Medicaid documentation for behavioral health practitioners. CMS. Retrieved from CMS.gov. Legacy Freedom Treatment Centers (2017). Website. Retrieved from Legacy Freedom Treatment Centers of Charlotte (2017). Retrieved from Psychology Today at: _8501&state=SC&spec=238&tr=ResultsProfileBtn Mental Health America (2017). The Federal and state role in mental health. Retrieved from Retrieved from Mental Health America of South Carolina (2017). Accreditations. Retrieved from Peden, A. (2012). Comparative Health Information Management. Cengage Learning (2012) 3 rd edition. South Carolina Department of Health and Environmental Control (2017). Laws and regulations. Retrieved from South Carolina Department of Mental Health (2017). Laws of South Carolina that pertain to mental health. Retrieved from South Carolina Department of Mental Health (2017). JCAHO. Retrieved from Substance Abuse Treatment Centers in South Carolina (2017). Retrieved from Psychology Today at: Substance Abuse and Mental health Services Administration [SAMHSA](2017). Medical Records privacy and confidentiality. Retrieved from
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