up close & personnel - pmhcc€¦ · in pennsylvania, the office of inspector general...
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PMHCC Winter 2015
UP CLOSE & PERSONNEL
Save The dates: Principal 1 on 1 meetings April 7th & 9th Personalized 1 on 1 planning offers benefits that can quickly add up. When it comes to planning for your retirement and other financial needs, are you saving, investing and making choices that help get you to your desired future? If you’re not sure, the Principal Retire SecureSM team can help. By meeting 1 on 1 with an experienced, noncommissioned Retire Secure representative you can get tips and develop a plan for your future. Made available by Company name, this opportunity costs you nothing—and the benefits can add up. During your 1 on 1 meeting you will cover: • Your unique needs and goals • Gaps in your savings • Protecting your income and assets You will leave your planning meeting with a personalized action plan to help keep you on track toward your goals. Look for the upcoming email communication to schedule times.
Table of Contents
United Way / Principal 1
Compliance Corner 2
Compliance Corner 3
YOS Awards 4
New Employees 5
Department News 6
Department News 7
DBHIDS 8
Did You Know? 9
Benefit Contact Information 10
PMHCC has been partnering with the United Way of Greater Philadel-phia and Southern New Jersey for a number of years to be a part of their mission to help improves lives and communities. Many quality programs and initiatives would not succeed without the help of United Way and they would not exist if individuals and corporations did not contribute to the campaign. In other words, those who need it most would not get the help they need if generous people did not contribute to the Untied Way campaign. The 2014-2015 campaign has been in-
credibly successful with both an increase in the number of participants and the amount of pledges. This year our participation rate jumped from 33 participants to 69 participants which is an increase of 109%. Our do-nation amount also had a significant increase. Last year’s campaign total was $4,819, while this year’s cam-paign total of donations and pledges is $12,224! That is an increase of 153%! A special thank you goes out to Rachel Holmes-Pittman, CHRO and Christine Gradel, HR Benefits Coordinator for doing such a terrific job in promoting and organizing this years United Way. A big thank you also goes out to AFLAC, BDO, Charon Planning, Cigna, Delta Dental, and PFCU Credit Union for all of the wonderful raffle prizes!
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Page 2 Winter 2015
PMHCC Compliance Corner
FRAUD & ABUSE: WHAT IS IT AND HOW CAN IT BE AVOIDED
National estimates project that billions of dollars are lost to health care fraud and abuse on an
annual basis. Health care fraud is generally defines as an intentional misrepresentation, de-
ception, or intentional act of deceit for the purpose of receiving greater reimbursement.
Health care abuse is generally referred to as reckless disregard or conduct that goes against
and is inconsistent with acceptable business and/or medical practices resulting in greater re-
imbursement. Examples of health care fraud include:
Billing for services that were not provided Misrepresenting the service provided Billing for a covered service when the service actually provided was not covered Duplicate billing for the same service Billing for services provided by unlicensed or unqualified persons In Pennsylvania, the Office of Inspector General investigates reports of suspected welfare
fraud. Between January 1, 2014 and December 31, 2014 the welfare fraud hot line:
Received 17,530 tip complaints through the toll-free welfare fraud tip line, regular mail,
or via the web. Of the complaints received, 4,976 field investigations were conducted by the Office of In-
spector General. Investigations resulted in $17,760,798 in costs avoided by the Commonwealth’s Department
of Human Services. Although we more frequently consider fraud in terms of health care and welfare, fraud is not
limited to government billing issues. Examples of fraud can include an employee’s activities
related to their own employment. Examples of fraud in the workplace include:
Abuse of Work Hour (for instance stating you are working when you are not). Misuse of Equipment/Supplies/Facilities/Vehicles (for instance using a company car for
personal business). Conflict of Interest/Adverse Interest Violations (for instance becoming a Social Security
Representative Payee for a participant/individual that is receiving services from PMHCC or
CTT). Contract/Grant Administration/Procurement/Performance Irregularities (for instance
spending money allocated under a grant on items not approved by the funding source). Program Fraud/Mismanagement (for instance submitting a billing document claiming to
have provided services that were not provided). False Statements/Falsification of Records (for instance signing service documentation that
is inaccurate). Misappropriation/Theft of Funds (for instance receiving a PMHCC or CTT salary while per-
forming work for another company on PMHCC or CTT time).
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Page 3 Winter 2015
PMHCC Compliance Corner
EXAMPLES OF WAYS TO COMBAT FRAUD INCLUDE:
Keeping accurate records of all meetings with clients and services provided. Carefully reviewing billing records and service documentation. Discussing with supervisors/management questions about services that are billable. Confirming, in writing, with individuals/participants that the services billed were actual-
ly provided. Never asking an individual/participant to sign blank forms. Discussing with the individual/participant and the treatment team/supervisor if a treat-
ment plan seems questionable. Advising individuals/participants to protect documents that include identifying infor-
mation such as health care membership cards and then never “holding” the card in PMHCC
or CTT offices. Reporting any suspicions of fraud to management and/or the PMHCC/CTT Compliance
Hotline. Reporting accurately your start and end time each day. Following PMHCC/CTT policies regarding use of cars and company equipment. Maintaining only a professional relationship with individuals/participants that are re-
ceiving services. Keeping accurate records of outside employment that clearly establish that no work for out-
side employers is done during PMHCC or CTT work hours.
It is everyone’s responsibility at PMHCC and CTT to avoid situations that might result in
fraud and to report suspected fraud. Please review Policy 1213 “Anti Fraud And Response
Program” for details on when and how to report suspected Fraud.
Compliance Hotline: If you have any questions or concerns regarding a Fraud or Abuse
issue please contact the Compliance Hotline at 215-413-8230.
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Page 4 Winter 2015
5
Years of
Service
PMHCC Years Of Service Awards
Laurie Bundick
Andrea Lee
Keryl Miglioretto
Sylviah Banks
Sukeshi Buch
Daniel Doyle
Chantele Mallory
Lauren Shawl
Joyce Simons
Monique Simpson
Gordon Zeis
Aaron Rice III
Taylor Richardson
Arthur Thomas
15
Years of
Service
20
Years of
Service
Anna Marie Albadine
Cassandra Alexander
Luciane Green
Stephen Green
Tonya Harris
Sandra Pullett
Alma Taylor
10
Years of
Service
25
Years of
Service
Peggy Williams
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Up Close & Personnel Winter 2015 Page 5
David Ayers Specialized Clinical + Criminal Justice Unit Criminal Justice Policy&Planning Coordina-tor
Charles Balmer Behavioral Health Special Initiatives OAS ICM
Mia Blue BHFEC - Behavioral Health Forensic Evaluation Center
Secretary-Scheduling
Darlene Brooks PMHCC Administration Payroll Administrator
Lashonda Brunson PMHCC CTT Inc. BHID Pool Case Management Technician
Lauren Carbone Behavioral Health Special Initiatives OAS ICM
Reginald Connell Jr. Behavioral Health Special Initiatives Director-BHSI
Sandra Cribbs PMHCC CTT Inc. BHID Program Assistant
Stacey Cummings DBHIDS Manager, Grants & Procurement
Michelle Dean Behavioral Health Special Initiatives OAS ICM
Beverly Dunning PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse
Cynthia Elliott Behavioral Health Special Initiatives Accounts Payable Specialist
Tawanna Ellis DBHIDS PSH Clearinghouse Data Analyst
Jasmine Evans Behavioral Health Special Initiatives OAS ICM
Jerel Ferguson Behavioral Health Special Initiatives OAS ICM
Derrick Galmore PMHCC CTT Inc. BHID Pool Case Management Technician
Nili Gleaton Behavioral Health Special Initiatives OAS ICM
Chanell Nicole Gooden
Behavioral Health Special Initiatives OAS ICM
David Gorko PMHCC CTT Inc. ACT Clinician
Adrienne Hardy PMHCC CTT Inc. Case Management Specialist
Latoya Harrison PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse
Andrew Herdsman PMHCC CTT Inc. BHID Pool Case Management Technician
Lisa Jackson Behavioral Health Special Initiatives OAS ICM
Robert Jackson PMHCC CTT Inc. Certified Peer Specialist
Jeremy Keim-Shenk DHS Data Coordinator
Amber Liggins PMHCC CTT Inc. ACT Program Assistant
Shaakira Lyons Behavioral Health Special Initiatives OAS ICM
Gulal Nakati DHS Knowledge Manager
Sharon Parks PMHCC Administration Administrative Liaison
Erica Payne Behavioral Health Special Initiatives OAS ICM
Jerome Ross Behavioral Health Special Initiatives OAS ICM
Hillary Shayne DBHIDS Human Services Continuity Planner
Kwanda Smith PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse
Christine Sullivan PMHCC Administration Controller
Temple Taylor Behavioral Health Special Initiatives OAS ICM
Mark Vandoren DPH Social Services Data Warehouse Manager
David Westerfer DPH EHR Business Architect I
Ysaye Zamore DBHIDS Human Services Incident Response Planner
Bendu Zoryeah Behavioral Health Special Initiatives Enhanced Case Management Specialist
Full Name: Business Unit: Job Title:
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Page 6 Winter 2015
Department News
Department Congratulations!
PCHC
Philadelphia Coordinated Health Care (PCHC) is de-
lighted to inform PMHCC
staff that Melissa DiSipio,
Assistant Director has been elected by the mem-
bership of the American
Association of Intellectual and Developmental Disa-
bilities (AAIDD) to its
Board of Directors, as Member at Large. Melissa’s term will run from July 1, 2015 to
June 30, 2019. Melissa has been with PCHC
for sixteen years and has been an active member of AAIDD for ten years. Melissa is
very excited to represent PCHC, PMHCC and
PA on a national level to support the
community healthcare needs of ID. Congratulations Melissa!
PMHCC Payroll News
We strive to continually improve and
streamline our business practices. Our
most recent change is the creation of a centralized email address that is monitored
by more than one staff. This ensures cover-
age during absences and timely responses to employee requests. Please direct
all payroll requests to
Effective January 1, 2015
the mileage reimbursement rate is $0.575
per mile.
W-2’s were distributed in late January
2015 is a new tax year. Review your
paystub and verify your mailing address and payroll withholdings. If changes are
needed, please contact Human Resources.
CTT Taeesha Smith was awarded the Case
Manager of The Year at the NACM
Conference held in Philadelphia in November 2014.
Phyllis Mayo retired after a 24 year tenure with CTT.
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Page 7 Winter 2015
New Telephone System Our aging telephone system is being replaced with a new state of the art Voice Over IP (VOIP) phone system. What is VOIP? Basically VOIP uses the computer network and the internet to send and receive voice calls. VOIP saves money by eliminating special cables and allowing the computer and phone to use the same internet service instead of paying for internet service and traditional telephone services. The new phone system will have all of the existing functionality we currently have but it will also have several new features such as software on your computer to manage calls, the ability to dial by extension between Broad Street and Delaware Avenue, a choice of a desktop phone or a headset phone that connects directly to your computer (this is called a Softphone), an easy to use corporate directory, voice mail messages that will be delivered as email, chat, collabora-tion with video, and the ability to use a company issued mobile phone with your work extension to receive and make calls wherever you are. All staff in the Broad Street and Delaware Avenue loca-tions will be migrated over to the new phone system in the next several months. The IS Department will perform training sessions for all staff as your department is scheduled for the migration. PMHCC has already purchased the phone system and will be responsible for purchasing all phones for every department.
A word from MHFA
News From IS
One in five Americans has a mental illness and many are reluctant to seek help or might not know where to turn for care. The symptoms can be difficult to detect — even when friends and family of someone who appears to be struggling with behavioral health challenges can tell that something is amiss, they may not know how to intervene or direct the person to proper treatment – which means that all too often, those in need of behavioral health services do not get help until it is too late. Studies have found that people trained in Mental Health First Aid have more confidence in helping others and a greater likelihood of advising people to seek professional help. YOU can be that person who reaches out and helps a family member, friend, co-worker or neighbor! Sign up for a free training to become a certified Mental Health First Aider, and join the almost 8,000 Phil-adelphians who have committed to helping others. (For more information, visit www.healthymindsphilly.org call (215) 790-4996, or visit the MHFA main office @ 123 S. Broad Street, 22nd Floor)
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Page 8 Winter 2015
Philadelphia DBHIDS Transformation Decade Celebration
Philadelphia has a long history of innovative services in the behavioral health and intellectual disAbility
fields, and over the last ten years, the City's DBHIDS has been at the forefront of the shifting landscape in
how people receive services. This transformative change required the creation of a system-wide and integrat-
ed strategy, led by the shared visions of leaders, providers, community stakeholders, people in recovery, in-
dividuals with intellectual disAbilities, and DBHIDS staff.
To this end, DBHIDS is pleased to announce a series of events and activities scheduled throughout this year.
The goal of this celebration series is to highlight accomplishments, celebrate stakeholders who played an in-
tegral role in this process, and plan, as a system, for the next decade. We hope you will be a part of
the Transformation Decade conversation on Twitter. Use the hashtag, #PHLtransformed and follow
us @DBHIDS. To stay up-to-date with all that’s ahead over the next 9 months,
visit http://dbhids.org/phltransformed
TRANSFORMATION DECADE PLANNING TEAM
Month Theme
February Transformation: 10 Years Later
March Self Determination & Brighter Futures
April Community Mental Health & Wellness
May Children & Youth
June Cross Systems Collaborations
July & August
Align, Coordinate & Integrate: Innovations & Improvements in Service
Delivery
(Parts 1 & 2)
September Addiction Services & Recovery Advocacy
October Peer Culture & Family Inclusion
November Final Celebration: DBHIDS “Giving Thanks“
Maria Boswell Erica Gerald Jeffrey Orlin
Andrea Brooks Mark Hackney Ann Rudnick
Dana Careless Michelle Heyward Kimberly Rymsha
Monava Chappelle David Kim Bonnie Squires
Nicole Connell Jon Korczykowski Alma Jean Taylor
Shemiah Cooper Samantha Matlin Ricardo Tull
Keena Cravison Pamela McClenton Shawna Weaver
Deborah Ferrell L’Oreal McCollum Regina Xhezo
Derrick Ford Teresa Myers-Thompson Robert Ximines
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Fal l 2012
From IS “Scam: The IRS is Suing You.”: It is tax season and cybercriminals are trying to make money off this opportunity. At the moment, massive amounts of robo-calls are being made to people at the house claiming that the IRS is suing you, with a callback number in Washington. The same is happening with IRS phishing emails. Don't try to call the number, and delete the emails. These scam-mers use high pressure tactics to extort your money. Remember to never give out personal infor-mation to anyone unless YOU have initiated the contact.
W-2’s, 403(b) contributions and addresses: Though Self Service is an important tool in mak-ing sure that your personal information is correct, some paper forms still need to be completed and sent to Human Resources. If you would like to make changes to your W-2, increase, decrease or can-cel your 403(b) contributions or change your address you are still required to print out and complete the paper forms.
Direct Deposit: is handled by Human Resources. To add, or change a bank account either a voided check or a bank account printout is needed along with the completed form.
Expense Reports: is handled by Payroll.
Request for Time Off: is handled by Payroll.
Did You Know?
Winter 2015 Page 9
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Benefits Contact Information
Benefit Service Center
Charon Planning
1.877.797.8352
email: [email protected]
pmhcc.mybenefitsview.com
User ID: pmhcc Password: benefits
Medical & Vision Benefits | Cigna
www.cigna.com | 1.800.244.6224 Group # 3337931
Prescription Drug | Cigna
www.cigna.com | 1.800.244.6224
Group# 3337931 Bin# 600428 PCN: 0215000 Dental Benefits | Delta Dental of PA www.deltadentalins.com | 1.800.932.0783 Group # 10849 Life and Disability | Aetna www.aetna.com Life | 1.800.523.5065 Disability | 1.866.326.1380 Flexible Spending Accounts | PayFlex www.healthhub.com | 1.800.283.4885
Employee Assistance Program | Aetna
www.mylifevalues.com | 1.855.283.1915
Username: RESOURCES Password: RESOURCES Retirement Plan | Principal Financial www.principal.com | 1.800.547.7754 Credit Union | Philadelphia Federal Credit Union www.pfcu.com | 1.800.832.7328; 215-934-3500 Aflac www.aflac.com | 1.800.992.3522 LegalShield www.legalshield.com | 1.800.972.9272 Global Fit www.globalfit.com | 1.800.294.1500