Arkansas RSPMI, CHMS

Logik Solutions’ has been addressing the special billing requirements in Arkansas for RSPMI and CHMS for more than a decade.


RSPMI Billing - SOLVED

These are “brands” of rehabilitative and psychiatric services administered by the State. If you’re an Arkansas provider you’ll be excited about these features:

RSPMI PRIOR AUTHORIZATION FEATURES:

  • Capability to load and track usage of the yearly “Free Pot,” of services granted for each patient, and to refresh the “Free Pot,” each July.
  • Notification to therapy and business office staff to obtain Additional Units—and project when units will likely be consumed BEFORE the authorization expires.
  • Prevent unauthorized services from billing and ‘hold’ charges until authorization is obtained.

PRIMARY CARE PHYSICIAN (PCP) AUTHORIZATIONS

  • Track expirations and need to renew your PCP authorizations.
  • Prevent un-authorized services from billing and “hold” charges until authorization is obtained.
  • Track PHP Authorized SERVICES in CHMS settings.

FREQUENCY AUTHORIZATIONS

  • Specify services required in a date range, or period consistent with patients’ treatment plans.

REQUIRED SERVICES MANDATED FOR RSPMI

  • Track services required on regular cycle such as Treatment Plans or Diagnostic Assessment.
  • If required services are not provided, suspend billing of other services to maintain administrative compliance.

ADHD MONITORING

ARKANSAS MEDICAID ELECTRONIC INTERFACE

  • Generate the Arkansas compliant 837-P file and upload directly to Arkansas Medicaid, bypassing a third party clearing house. Process response files, e.g., 277’s, REJ and 999’s and electronic remittance advice, also known as the HIPAA 835.

CHMS SPECIFIC FEATURES

  • Maintain van/bus tables and assign students to a regular vehicle
  • Record Van arrival/departure times as means to commence and end the school day.
  • Automatically generate daily educational services based upon student attendance roster.
  • Suspend generation of education service charges while Student is in rehabilitative or other therapeutic services.
  • Electronic billing is available for CHMS services.