Paradigm has proudly hosted an annual learning event for program coordinators for two decades at no cost to the attendees. This year is the first education series in Paradigm’s history, and we’re pleased to offer this video archive of all the workshops. Please use the table of contents to discover workshop that can support your efforts in this challenging but essential work.
Table of Contents
SMBES 2022 Short Film
Kathleen and Victor dedicate themselves to discovering what will make this year’s event a unique and powerful experience for the attendees. Along the way, they assemble a competent and passionate team.
LEA Billing Basics
This workshop introduces you to the LEA Billing program in California and its features: What services are billable? Who can bill? What are the audit requirements? What is required of the LEA to participate?
SMAA Program Basics
This workshop introduces you to the School Medi-Cal Administrative Activities (“SMAA”) program in California and its features: What is billable? Who can participate? How does the SMAA claiming process work? What are the audit requirements? What is required of the LEA to participate?
Audit Process Orientation
This workshop introduces you to audit process for both LEA Billing and SMAA in California. The three main topics are: When audits occur and who conducts them; How audits are administered and what to be prepared for; and, Key ideas for how to safeguard reimbursements.
Audit Readiness Checklist
This workshop focuses on the details related to ‘what’ is required in an audit—the checklist of items you need in order to safeguard your LEA Billing and SMAA reimbursements.
Interim Claiming & CRCS Fundamentals
This workshop moves beyond the basics and expands on the LEA Billing claiming process and how reimbursements are ultimately determined. Ultimately, this workshop provides you with insight into your potential LEA Billing reimbursements and what matters most.
Mock Audit Preparation (Part 1)
This workshop is a two-session, hands-on workshop that allows you to assess the audit-readiness of your LEA Billing program. This workshop will provide you with insight into your local vulnerabilities and a framework for addressing those vulnerabilities.
Mock Audit Results (Part 2)
This is the wrap-up session of the two-part mock audit workshop. In this session the results of the mock student billing test coordinators performed will be reviewed and discussed. You will gain insights from others on what worked and lessons learned, which will bolster your own local mock auditing program.
Rosters & Participation
Program coordinators must be meticulous with tracking provider qualifications and managing RMTS TSP rosters because they are fundamental to both LEA Billing and SMAA. This workshop will explore the nuances of this management process and provide you with fresh ideas for encouraging and elevating participation in your programs.
CRCS Back Casting Update
This is a mission-critical informational workshop detailing what’s to come as California LEAs prepare to submit the first of five back casted CRCS claims.
Impact of RMTS, Authorizations & Parent Consent
This workshop will take a deep dive into the data and illustrate just how impactful the TSP list, authorizations, and parent consent rates impact LEA Billing interim claiming.
Fiscal Factors
California’s LEA Billing and SMAA program are reimbursement programs which are predicated on eligible costs. This workshop explores the fiscal factors that contribute to your bottom line, and the nuances to be mindful of when processing fiscal data for claiming.
SMAA Revenue Assessment
As a cornerstone of Paradigm’s annual event, this workshop provides a structure for assessing the performance of your SMAA program. Using curated benchmarks, you will be able to determine how maximized your program currently is.
LEA Billing Revenue Assessment
As a cornerstone of Paradigm’s annual event, this workshop provides a structure for assessing the performance of your LEA Billing program. Using curated benchmarks, you will be able to determine how maximized your program currently is.
Ask Us Anything (Week 1)
Paradigm’s goal is that you get answers—we do not want anyone ending their learning path with unanswered questions. This session provides answers to the questions asked throughout the first week of the Education Series.
Ask Us Anything (Week 2)
Gen. Ed. Billing & Overcoming the Barriers
This workshop is about discussing and hearing from those who have made billing for general education work and those still working on it. Ideally, you will end the workshop with more confidence in your ability to bill for general education services and ways in which to maximize this opportunity.
Billing for Transportation
If your LEA Billing program is well-established and you’re looking for a boost, transportation may be where it’s at. Ideally, you will end the workshop with more confidence in your ability to bill for transportation services and ways in which to maximize this opportunity.
Program Management Best Practices
Creating a Culture of Compliance
SHN Learning Lab: Monitoring Participation
SHN Learning Lab: Managing Orders for Specialized Procedures
SHN Learning Lab: Monitoring Authorizations
SHN Learning Lab: Pulling Records for Medi-Cal Audit
SHN Learning Lab: Student Manager & Monitoring Parent Consent
As a program coordinator, in this Learning Lab, you will walk away with practical instruction so you can better leverage SHN’s features to your advantage and prioritize parent consent updates and bulk updates.
SHN Learning Lab: Reporting & Custom Reports
Medi-Cal Programs Onboarding Process
What SHN Can Do!
SHN is more than a means to capture services for Medi-Cal billing—it offers so much more! this session discusses what SHN can do and the new features that will be rolled out soon.
Welcome Address
In the Welcome Address, you will hear from the School Medicaid Billing Education Series 2022 hosts and gain valuable tips on making the most out of your learning path experience.
Event Wrap-Up & Winners
Our hosts share some final words in our wrap-up and unveil the School Medicaid Community Hub as a collaborative space to connect, share, and learn all year round. Additionally, the passcode challenge and raffle draw winners are identified.