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3. Post & Participate Present your thoughts & ideas to generate discussion and responses from other Procentive Users!

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Health Partners (HP PMAP) Comprehensive Assessment Billing?

Jeremy Roelofs-Lynch gestern um 07:26 in Billing/Electronic Modules aktualisiert von Teri Vor 22 Stunden 3

Has anyone been able to successfully bill and receive payment for the Comprehensive Assessment ($162.24) with HealthPartners PMAP? 

Jeremy

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Billing PMAP's for H0001 w/HF Modifier (Rule 25 Assessment)

Jeremy Roelofs-Lynch vor 10 Monaten in Billing/Electronic Modules aktualisiert vor 1 Woche 8

Does anyone bill their Rule 25 Assessment with a HF Modifier?


This was just brought to my attention that for PMAPs (UCare/Hennepin Health) we can bill the Rule 25 with the Modifier and bill the Comp Assess without it. The R25 would pay per our contract and the Comp Assess would pay the 162.24.


Any feedback would be greatly appreciated. 

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Setting Default Accounting Payment Terms on statements

Jonathan Beulke vor 2 Monaten in Reporting Module aktualisiert von sadie.twite vor 1 Woche 11

Does anyone know if there's a setting in Procentive to set payment terms when generating statements?  When generating statements from report 3560 I know I'm able to add information in the Instructions field, but the data I enter here does not appear on all of the generated statements.  It's inconsistent and appears random, almost as if this is a bug in the report.

Thanks in advance for the help or advice.

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Fixed

KNOWN ISSUES: MN MA Eligibility

We're receiving some time out errors when running eligibility this morning. MN MA indicated that this was resolved yesterday however, it appears they're still having intermittent issues this morning. We've reached out to them for updates, but haven't heard back yet. We'll update this page as soon as we have more information from MN MA. Thanks!

Antwort

We've received the below statement from MN MA and Eligibility is now working again.


Attn: MN Medicaid Real Time Eligibility users,

MN Medicaid’s Real Time Eligibility applications have been restored again. Operations staff are reporting that transactions are responding normally.

Please let me know if you encounter further issues.

Regards,

Derik Newman

Business Analyst | Program Management Division

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What to do when clients are being seen in the office and via telehealth

Tina B vor 2 Wochen in Billing/Electronic Modules aktualisiert von Rochelle Garcia vor 2 Wochen 1

Wondering if anyone has come across this scenario yet.....we have clients coming into the office and being seen via telehealth. When submitting claims w/ place of service (pos) office, no modifier is needed; for telehealth a modifier is needed for most payers. Currently, I have to look in the Appointment Module to see which clients are coming into the office so I know to change the pos to "office" ( right now, I only have Telehealth pos available for providers as that is the majority). Unfortunately, I added the telehealth modifier when I billed them. Anyone have any ideas how to handle this when it becomes half office and half telehealth clientele?