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Medicaid/Education Reports

This report discusses the findings and issues related to the Random Moment Time Study (RMTS) as it pertains to Medicaid billing for educational services, specifically focusing on inappropriate responses from staff. It highlights examples of responses that were deemed unacceptable, raises concerns about incomplete and unprofessional feedback, and presents preliminary response rates across various service categories. This document aims to improve understanding and compliance with Medicaid billing standards in educational contexts.

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Medicaid/Education Reports

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  1. Medicaid/Education Reports August 8-9, 2012

  2. Address Medicaid

  3. Diagnosis Code

  4. Diagnosis Code

  5. Enter new billing

  6. General

  7. PDF

  8. Page down

  9. Random Moment Time Studies

  10. Inappropriate Responses to RMTS • Example 1: (Would not be coded as Medicaid allowable cost. Needs more detail.) • Who was with you? • No one • 2. What were you doing? • Duty • Why were you doing this activity? • Assigned duty • 4. Is this activity regarding a Special Education student? • No

  11. Inappropriate Responses to RMTS • Example 2: • Who was with you? • A group of people charged with carrying out the work of an establishment • 2. What were you doing? • Inputting the last “moment in time” documentation instead of using my scheduled paperwork time to prepare for the two IEPs that I have next week. • Why were you doing this activity? • You keep sending me these “moments.” I am itinerant and MCS will not provide me with a computer, IPad, or other internet access to use during treatment blocks of time. Scheduled office time is the only time I can complete these “moments.” • 4. Is this activity regarding a Special Education student? • NA

  12. Preliminary Results of 1st RMTSFebruary - March Response rates – 85% required (3000 moments per “pool”) • 92.13% - Direct Services • 83.20% - Care Coordination • 78.60% - Personal Care • 89.47% - Admin

  13. PCG’s Time Study Team – “less than appropriate responses were submitted.” • A number of inappropriate responses were received by staff participating in the RMTS. • Two areas of concern: • Incomplete responses • Rudeness/Frustration

  14. Preliminary Results of 1st RMTSFebruary - March Service percentages responses • 49.16% - Direct Services • 4.24% - Care Coordination • 20.21% - Personal Care

  15. Cost Settlement Calculation Example – Neutral WV: Introduction to Medicaid Cost Based School Based Health Services

  16. https://easyrmts.pcgus.com/RMTSv2/LoginCheck.aspx

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