We were finally able to successfully bill the enhanced rates on our room and board line. It has always been on the grid rate sheet but we never were able to get it through. We billed enhanced rate with with child (U6) and medical (U5). After a few phone calls with DHS and asking the right questions we were able to bill directly on the MN-its website and get paid.
Now when setting up our current clients with the room and board plus modifiers in Procentive it cannot clear their system. They say that DHS has been made aware of the issue that when sending in batch form it will not clear a revenue code with modifiers. Only a CPT code with modifiers.
They also said that most people (like us before) just end up getting paid the base rate. So to test it out first. If entered right on MNit's you can get paid for this. It is a substantial amount of money over the course of a year billing out these rates.
We are wondering who else is having this issue and if enough of us raise and issue with Procentive /DHS the proper changes can be made so we can bill out of Procentive without having to go into MN'its directly to edit and bill the Room and Board w/ mods for every client in the facility.
Customer support service by UserEcho