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Room & Board code

sadie.twite 6 months ago in Billing/Electronic Modules updated by Jeremy Roelofs-Lynch 9 hours ago 1

Does anyone in the community currently use another room & board code beside 1002? We are looking to bill room & board without the residential treatment for our teen clients. Do you know if this would be 1003 or something else? If it's 1003, do you know if you can bill outpatient services at the same time?


Procentive running slow

Aanderson 3 days ago in Procentive News updated by Amanda Kaufmann (Customer Success Manager) 2 days ago 4

Is Procentive running slow for anyone else? Several reports from staff and own experience that it is taking forever to log in or switch modules.


Does any one bill for telehealth services for mental health

TVano 8 months ago in Meaningful Use updated by Richard Sethre, Psy.D., L.P. 3 days ago 10

Hello everyone,

We are looking into doing telehealth services and I am  wondering if any one currently bills for this? what modifiers do you use? Thank you for your help


Credentialing, as newly licensed, with Insurance Companies for two different Mental Health Centers

Paula 3 days ago in Industry News/Discussion 0


I have not run into this before.  One of our therapists will soon be fully licensed.  He works for our company and also for another mental health company.  Is there any reason why he cannot credential to all insurance companies with two separate applications?  One application listing our company and our billing NPI # and sending in another application listing the other company and their billing NPI#?




Optum Peer to Peer Review Phone Calls

ahuseby 4 days ago in User Group Help updated 4 days ago 2

Has anyone else been receiving phone calls from Optum demanding to speak to their therapists directly in regards to doing peer to peer reviews on their clients?  

The phone calls have been taking approx 30 mins each for our therapists and the person calling is asking about clinical information for how we are providing therapy to our clients; all of which would be in our documentation.  When asked why they don't just ask for our documentation, they are told that it isn't about that and that it is more of a peer to peer thing.  Once the person that is calling gets all of the information about the case, they then review it with their team and call us back with their recommendations.  Basically informing us how to provide treatment to our clients. Doesn't seem like a very good use of our therapists time and we haven't had anything like this in the past, so just wondering if others are receiving these as well.