Agenda - 03-13-2007-9c - Laserfiche WebLink

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11 covered under contract with provider agencies in the community. A total of six employees were initially a part of the Professional Employee Organization (PEO), however, in November of 2006, two of the employees retired. The Organization Chart for OPC is provided to show the positions and location of duties and responsibilities within the LME. Business Rules The following business rules enhance OPC's abilities as an LME: -:• OPC's Area Director and senior management have increased oversight of financial processes. ~: -. OPC Management has created a comprehensive financial management plan that is designed to closely monitor our current ~financial~3status, while identifying and referring for resolution any problems. ~~Three, committees have been revamped and/or created to track various aspects of our financial health. OPC's Utilization Management (UM) Committee, chaired by our~`IV,ledcal Director, is responsible for service utilization review, monitoring the flow of'`seivice dollars .into our system, allocations to providers, and requests for additional funding throughout the year. In the future the UM Committee will incorporate data regarding consumer outcomes and provider pertormance into this decision-making process. A second committee, chaired by our Business Systems Manager, focuses on the design and implementation of our new business system. A third committee, chaired by our Quality Improvement Director, was just established to review and resolve billing and reimbursement issues with our provider community. In addition, the Area Director reviews all payments under. $5000, while the Chief Financial Officer reviews all payments: over $5000; Senior Management receives weekly banking and financial updates`ar-d tracks, all open provider invoices within our system. Finally, it is noted that~Management Team made the decision to increase staffing in the Finance Department, as well 'as hire consultant services to resolve pending billing and `reimt~ursement issues! • Involvement,of Area Board enhances agency stability. OPC's Area Board has significantly increased its oversight and participation in the establishment of~ the local management entity. Board agendas include both state and local information relevant to LME functions, and Board members are frequently asked to engage with community partners in design of the system. The Area Board has increased Board membership on the Finance Committee and, on a monthly basis receives detailed reports regarding the agency's financial status. 11