Dfl Reflection Journal

The patient did not hesitate to sign the tx violation and was very understanding as to why due to non-compliance, but again, this writer gave the patient credit for his efforts, but appointment needs to be established with proof of documentation. This writer strongly urges the patient to still follow through with team recommendation and obtain a documentation of his scheduled intake, at which the patient agreed to do.

review the SFL audit report and here is the numbers of patient accounts that we can't bill out to the SFL program b/c the patient don't qualify or never complete the SFL application. Please review my founding and let me know How do you want me handle all this claims. My suggestion is if the patient is active with Title X we can adjusted off under the Title X program and just bill the patient for the Title X copay fee and the lab fee if the patient is scale level is B,C,D,E & F. I will be waiting for the final decision that you and Sara will like to make.

The patient is in the process of being reassigned with a mental health therapist through CHR and it is currently pending. The patient is planning to follow up today about the outcome because she then reports, " I have to do the intake again."

Medical: Ms. Williams failed to submit her medical documentation. Ms. Williams is expected to submit her medical evaluation or physical by 11/2016.

By next week, our aim to continue to test the car with the different amount of weights to work the total amount (optimal weight for our modified car) of weight that our car can carry. Our second goal is to finish our technical report as soon as

Mr. Flowers is a 41 year old male who presented to the ED via LEO under IVC from Daymark Recovery Services. TACT assisted ED staff with deescalating Mr. Flowers after being informed of Mr. Flowers was becoming agitated. Mr. Flowers was concern about when he was able to leave and was under the impression he could leave tonight. TACT spoke with Paige from MCBH who informed TACT that MCBH was still seeking placement for Mr. Flowers. Mr. Flowers was informed of the current status of his disposition. Mr. Flowers gave this clinician verbal permission to speak with his wife Vickie Flowers about the status of his disposition and explain the process to her. This clinician explain the process and informed her of status.

I feel this week was very beneficial to me as well as to my business career. I think the information was helpful and made me understand things better. I was unaware of some of the terms in the book, but learned them. This week was smoother than the first week. I thought the first week has been the toughest so far. I feel I am doing well in the course, but I will continue to do better on my assignments.

CM was out for the period of 1/9/2017 to 1/6/2017. On 1/20/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. In the meeting client appears to be exhausted, weary and tire. CM inquire the reason client appear to be tired. Client replies” she is not feeling well, her diabetic and high glucose blood pressure is either low or high. CM inquires if the client met with the onsite medical staff. Client replies “no’. She has an appointment with the PCP.

Michael escorted patient #1974 to Supervisor office as the patient appeared to be upset with regard to her recent HOLD. According to the patient, she complained about her assigned counselor placing her on HOLD for unscheduled sessions and this has occurred on two separate occasion. The patient then reports that on 05/8/2017- an appointment was schedule, but the patient cancelled and was told by Michael that she will receive a phone call to reschedule the appointment but no call was made. In addition, the patient shared that her assigned counselor did not fax her UDS result to DCF/Housing Worker. The patient requested to be reassigned with a new counselor. This information was relayed to Michael pertaining to the patient response. According

The patient was placed on hold due to his AWOL status. The patient provide an explanation stating he was not feeling well. This writer discussed with the patient about the importance of daily dosing and th erisk factor of missing a dose will put him at risk for a relapse, at which the patient agreed. The patient then reports he relapsed yesterday and used heroin, 10 bags by IV due to missing his dose. The patient signed a AWOL notice. Furthermore, the patient may consider going inpatient to further help with this relapse so that he can get clean. The patient is aware to notify this writer as soon as possible about his consideration of going inpatient. The patient has a court hearing on 03/07/2016 to address his DUI case.

The patient needs to take accountability of her no shows based on the clinic's policy, referring to counseling session. The patient was advised that should she needs to address any further concerns to ask for a Supervisor. No evidence of SI/HI during the encounter. The patient appeared to be alert and oriented.

If the patient don't have SFL active and the patient need to return. I think we need to charge the visit as a regular visit and not with Title X adjustment. At least Sara decide something else.

The patient account review and the patient is active with SFL. The insurance effective date start 11/18/2015 to 11/18/2016 so this mean that the patient is active for DOS.The information is on the patient account. I just void and re-enter the V#13317940 and transfer the claim to the SFL program. Also I print the paper claim already and billed to the SFL program. Please advise the patient.

V#7679360 - DOS was billed to SFL on 6/13/13 and I don't now why SFL don't paid WFH for the services. Unfortunately I was not in charge of the program at the time. Since SFL only paid and cover for the services one time in the year and if we past the date line for us send the claim back to SFL they will be denied the claim untimely filling. On this case we need to adjust the claim to the patient Scale A. So the claim was adjusted correctly.

The patient arrived on time for the counseling session. Reports stability on her dose and denies the need to increase on her methadone when offered by the writer. According to the patient, she is scheduled to meet her assigned psychiatrist today at 9am. The patient asked the writer for assistance with rescheduling her AMR appointment time on the 31st of October from 9:30am to 7am. The writer called Nurse Rose to see whether or not the appointment time can be change and the patient request was granted. The patient then updated the writer about the status of her daughter and her son, at which the patient shared that they are both are doing well. Addressing the NA log, the patient said, " Oh, No....I forgot, Charlene. I am so sorry...I need