WYLIE INDEPENDENT SCHOOL DISTRICT Maximizing your School Health and Related Services (SHARS) Billing and SHARS Cost Report. | APR. 05, 2022 Twenty-Eight years of experience. The LEADER in SHARS revenue maximization and school‐based Medicaid consulting services with expertise in all aspects of Medicaid compliance. School Districts in Partnership to Achieve Excellence
DECEMBER 2016 TABLE OF CONTENTS Leadership Presentation System Overiview E-Solutions with Advanced Technology Sample Reports Finance Reports MFCS - HOUSTON ISD | 02
MFCS Overview Revenue Projection Comprehensive Service Program Compliance Excellent Service State/Federal Regulations E-Solutions with Advanced Technology SHARS Cost Report Capturing All Billable Services MFCS - HOUSTON ISD | 3
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• MFCS Overview • Student File Upload Process • Eligibility Process • Electronic Data Interchange (EDI) • Microsoft Azure • Features MFCS - HOUSTON ISD | 11
MFCS Overview MFCS - HOUSTON ISD | 12
Student Upload Process MFCS - HOUSTON ISD | 13
Eligibility Process MFCS - HOUSTON ISD | 14
Electronic Data Interchange (EDI) MFCS - HOUSTON ISD | 15
Microsoft Azure MFCS - HOUSTON ISD | 16
Features MFCS - HOUSTON ISD | 17
User Action Reports Activity Tracking District Revenue District Tabulations Provider Users Special Transportation – SHARS Medicaid Verification Log – 2018-2019 Student Missing Service Report Other Available Reports District Appeals Student Data User Caseload Report User Visit Tracking Visit Details MFCS - HOUSTON ISD | 18
Finance Reports Certification of Funds (Centricity) Certification of Funds (R&S) Client Revenue Disallowed Visits (R&S) IEP Report Projected Revenue – Actual Recoupments Reimbursement Summary (Centricity) Reimbursement Summary (R&S) MFCS - HOUSTON ISD | 19
User Action Reports Activity Tracking Report The Activity Tracking Report produces a breakdown of total active visits by Clinicians within a specific date range, grouped by service and campus. This report is available only to District Admins, MFCS Admins and Clinician Users. Clinicians use the report to determine if billing is complete for their visits, while Administrators use the report to determine how many visits have been created vs. billed. District Revenue Report The District Revenue Report enables Users to see the projected future district revenue and/or conclude actual revenue for all SHARS services within a specific date range, based on current fiscal year rates. This report is available only to District Admins and MFCS Admins. District Tabulation Report The District Tabulation Report enables Users to produce a tabulation of visit completion percentage by service as of the Report End Date. This report is available only to District Admins and MFCS Admins. This report helps the Finance team provide projections of future months for how many visits can be forecast based on the current pace. Provider Users Report The Provider Users Report enables Users to generate a list of providers available for the district in eSHARS within the selected date range. This report is available only to District Admins and MFCS Admins. TR Monthly Report The TR (Transportation) Monthly Report enables Users to view and print transportation logs for specific months and routes. This report is available only to District Admins and MFCS Admins. Student Missing Service Report The Student Missing Service Report enables Users to generate a list of Students in eSHARS who have active service activations with no activity (visits) entered by a Clinician for a given time. This report is available to Clinicians, District Admins and MFCS Admins. MFCS - HOUSTON ISD | 20
Other Available Reports District Appeals Report The District Appeals Report enables Users to generate a list of appeals that have been created in eSHARS by District Managers and Clinicians. This report indicates what stage of appealing process each visit currently has and it is available only to District Admins and MFCS Admins. Student Data The Student Data Report enables Users to generate a list of student data along with tagged service information for a given district as stored in the eSHARS database, derived from the district’s SIS upload file. This report is available only to District Admins and MFCS Admins. User Caseload Report The User Caseload Report enables Users to generate a list of active Students added to a Clinician’s caseload or list of Students without a caseload Clinician within the selected date range. This report is available only to District Admins and MFCS Admins. User Visit Tracking Report The User Visit Tracking Report enables Users to generate a list of visits recorded by specific Clinicians. This report is available only to District Admins and MFCS Admins. Visit Details Report The Visit Details Report enables Users to generate a list of all non-deleted visits with different status. It builds in with different grouping capability. ( grouping by campus, Clinician, student or service). This report is available only to District Admins and MFCS Admins. MFCS - HOUSTON ISD | 21
Finance Reports Certification of Funds (Centricity) The Certification of Funds (Centricity) Report enables Users to generate a daily balance report of processed claims within a certain time frame and what was paid or any recoupments that were made during that time frame. This information is generated from Centricity. This report is available only to District Admins and MFCS Admins. Certification of Funds (R&S) The Certification of Funds (R&S) enables Users to generate a daily balance report of processed claims within a certain time frame and what was paid or any recoupments that were made during that time frame. This information is generated from the R&S Reports that are available in TMHP. This report is available only to District Admins and MFCS Admins. Client Revenue The Client Revenue Report enables Users to generate a report on the revenue that has been generated at a specific point in time. This report is available only to District Admins and MFCS Admins. Disallowed Visits (R&S) The Disallowed Visits (R&S) Report enables Users to generate a report that will show the visits that were not paid by TMHP. This report is available only to District Admins and MFCS Admins. Ratio Report The Ratio Report enables Users to view the SHARS cost ratios such as IEP ratios, student transportation ratios, and one-way trip ratios to gather supporting data for cost reporting. This report is available only to District Admins and MFCS Admins. Projected Revenue The District Revenue Report enables Users to see the projected future district revenue based on previous year actual revenue for all SHARS services. This report is available only to District Admins and MFCS Admins. MFCS - HOUSTON ISD | 22
Finance Reports Recoupments The Recoupments Report enables Users to see the R&S report that is in TMHP and show all the recoupments that have been made for the selected dates. This report is available only to District Admins and MFCS Admins. Reimbursement Summary (Centricity) The Reimbursement Summary Report enables Users to generate a report on transmitted claims and the status of the claims based on status (file rejected status, overpaid, etc..) with the option to select the view by date of service or by date of entry. This report is available only to District Admins and MFCS Admins. Reimbursement Summary (R&S) The Reimbursement Summary Report enables Users to generate a report on transmitted paid claims with the option to select the view by date of service or by date of entry. This report is available only to District Admins and MFCS Admins. MFCS - HOUSTON ISD | 23
MEDICAID FINANCE AND CONSULTING SERVICES A DIVISION OF THE HOUSTON INDEPENDENT SCHOOL DISTRICT Thank you for your interest in Houston ISD-Medicaid Finance and Consulting Services (MFCS). The leader in SHARS revenue and School-based Medicaid Consulting Services. Serving Texas school districts for more than 25 years’ of experience to assist in maximizing your district’s Medicaid reimbursements SHARS program. At MFCS, we pride ourselves on offering our customers responsive, competent and excellent services. Our customers are the most important part of our business, and we work tirelessly to ensure complete satisfaction. With competitive rates and no hidden fees, we are guaranteed to meet your expectation and go above and beyond to keep you as a happy client. We Are Proud That... 70% of our client districts have been with us for 10 or more years. We have lowered fees for all Texas districts through our competitive fee structure. We have increased SHARS reimbursements on average 70 -75% above our clients’ previous billing system. We have provided service to more than half of the Medicaid eligible special education population. We offer unmatched expertise in SHARS finance, regulations and compliance. Myeshars is known as the leader and innovator in SHARS billing services. MFCS - HOUSTON ISD | 24
What We Offer... Web-based, On-Line Billing System myeSHARS is a web-based, online, real-time billing system that allows districts to submit claims electronically in compliance with HIPPA, FERPA, and Medicaid regulations. Our user-friendly environment reduces the time clinicians spend creating service tickets. Convenience Log into myeshars.com anytime, anywhere you have internet access. Online billing has never been easier Standard and Customized Reports Track your claims activity at micro and macro levels utilizing myeSHARS standard and customized reports. Custom reports delve deep into the analytics to allow you to view information that is essential to your district’s needs in meeting your overall goals. On-Site/Virtual Training Your district will be assigned a Medicaid Implementation Administrator who will provide on- site/virtual comprehensive training for all clinical service providers at your district, so personnel experience minimum time away from important duties. Financial Your district’s assigned Accountant will assist in evaluating eligible federal and state funding for MAC & SHARS Cost Report. Cost Report We can do it for you. No worries, our experience Accountant are available and ready to assist. Customer Support We have a dedicated Help Desk team, who are available Monday – Friday. Our team can easily be reached through our toll-free line, via email or instant messaging. We have SHARS tutorials available on-line with step by step videos providing an interactive experience. Technical Support Our on-site IT team will provide and assist with requested upgrades and system enhancements. Monitoring and Lobbying of State and Federal Medicaid Regulations and Compliance Our experienced team will keep you informed about on-going/reoccurring issues and regulations that affect school districts. We will continue to be instrumental in advocating in the best interests of Texas school districts. Audit and Review Support Are you being audited? Don’t worry our compliance and finance team will provide on-site assistance with gathering all require documentation that is needed for the state and federal Audit/Review. MFCS - HOUSTON ISD | 25
WYLIE INDPENDENT SCHOOL DISTRICT CONTACT US TODAY! Medicaid Finance and Consulting Services | APR. 05, 2022 5827 Chimney Rock, Suite 2200 | Houston, TX 77081 855-381-6327 | 713-556-9125 @mfcs_hisd @mfcs_hisd facebook.com/houstonmfcs/ www.houstonisd.org/mfcshouston | www.myeSHARS.com
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