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SMART FACTS Training. Simple Inquiries and One-on-One Counseling October 7, 2011. Objectives. 2. Agenda. Resources: Simple Inquiries and One-on-One Counseling . NEW: SMP Counselor Training Manual! www.smpresource.org > Resources for SMPs > Training. Outreach & Education Program.
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SMART FACTS Training Simple Inquiries and One-on-One Counseling October 7, 2011
Resources: Simple Inquiries and One-on-One Counseling • NEW: SMP Counselor Training Manual! • www.smpresource.org > Resources for SMPs > Training
Outreach & Education Program • SMART FACTS provides tools to plan, conduct, and track program outreach and educational activities • Five mandatory categories for the OIG Report • Simple Inquiries • One-on-One Counseling Sessions • Group Education Sessions • Community Outreach / Education Event • Media Airings (formerly Media Outreach Activity) • One optional category (not included on OIG Report) • Dissemination Activity
1) Simple Inquiry • A Simple Inquiry is brief contact initiated by a consumer and/or beneficiary that is resolved with minimal time and research or review. Simple Inquiries typically do not require individual demographic or private personal information such as a Medicare number or information about a medical condition. • SMART FACTS Manual, Appendix C
2) One-on-One Counseling Session • A meeting between SMP staff or volunteer and an individual beneficiary and/or his or her family for the purpose of discussing or gathering information about potential healthcare fraud, waste, or abuse. One-on-one counseling sessions may include beneficiary counseling, information gathering, or information sharing. • SMART FACTS Manual, Appendix C
SMART FACTS Demonstration • Simple Inquiries • Individual and batch entry • One-on-one Counseling • Individual and batch entry 12
Questions? 13
Next Steps 3 – Review Outreach & Education resources 1 – Schedule our next training session 2 – Schedule time for self-paced SMART FACTS Training 4 – Join next live session: Outreach & Education • For technical assistance, contact: Social Solutions: • E-mail: support@socialsolutions.com / Call: 1-866-732-3560 ext. 2 15