Session
1 (3 days)
IPRS Overview
(Day 1) - This session provides an overview of the IPRS System
for program administrators and future IPRS system users. IPRS system
functionality and processing, such as A Day in the Life of a
Claim will be addressed. This session is recommended for all
attendees!
Suggested
Audience - Area Program IPRS Coordinators, client accounting
staff, and medical records administrators are the primary target
audiences.
Client Eligibility
(Day 2) - This session provides an overview concerning the enrollment
and monitoring of Client Eligibility including information concerning
CNDS interfaces and procedures. Staff who will
use the Client Eligibility browser screens or Report2Web reports
should attend.
Suggested
Audience - Area Program IPRS Coordinators, people who conduct
administrative intakes (registration/admission), and medical records
staff are the primary target audiences.
Claims Filing
(Day 3) - This session provides an overview of IPRS Claims Filing
including information concerning EDI 837 transaction set and submission
considerations, EDI 835 transaction setand balancing procedures,
and adjustment processes. Staff who submit, or coordinate the requirements
for the submission of, claims and adjustments, reconcile remittances,
or utilize Report2Web reports should attend.
Suggested
Audience Area Program staff involved with claims
submission and reconciliation and those individuals who will be
involved in report review.
Site Coordinator
(Day 3) - This session provides an overview of IPRS Site Coordinator
responsibilities including IPRS Security Procedures, Helpdesk (BugCentral)
procedures, Report2Web instructions, and
Electronic Mailbox instructions.
Suggested
Audience - The Area Program Site Coordinator responsible
for supporting IPRS and one backup staff member.
Session
2 (2 days)
IPRS Overview
(Day 1) - This session provides an overview of the IPRS for
program administrators and future IPRS users. IPRS functionality
and processing, such as A Day in the Life of a Claim will
be addressed. This session is recommended for all attendees!
Suggested
Audience - Area program IPRS coordinators, financial managers,
client accounting staff and medical records administrators are the
primary target audiences.
Reports for
LME (Day 2) - This session provides an overview of the IPRS
reports available to LME staff utilizing Report2Web. This
session includes all other reports not previously covered by area
specific training sessions.
Suggested
Audience - Area program administrative staff who will be
involved in financial balancing and reconciliation and information
gathering for utilization and statistics.
Attending
Provider (Day 2) - This session provides an overview concerning
enrollment and monitoring of IPRS attending providers using IPRS
browser screens and reports.
Suggested
Audience - Area program staff responsible for the enrollment
of contract agencies (Attending providers). It is recommended that
attendance as well as access to this functionality be restricted
to 1-2 users in each area program in order to maintain data integrity.
Prior
Approval (Day 2) - This session provides an overview of the
IPRS Prior Approval types and dispositions, Prior Approval
browser screen instructions, and Report2Web use for administering
prior approvals. (Note - the focus of this session is the use of
the IPRS on-line system, NOT clinical decision-making or utilization
management policy. Disability sections will provide assistance to
area programs in developing clinical procedures and documentation
in separate sessions at a later date.)
Suggested
Audience Area program staff who will be entering
and monitoring Prior Approvals using the IPRS on-line system,
and monitoring Prior Approvals using Report2Web. (Note
- this session is NOT targeted to case managers or clinical program
managers!)
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