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Newly Licensed Clinicians-Credentialing procedures

Rochelle Garcia 4 years ago in User Group Help updated by Mark Cornell 4 years ago 5

Hello,

I was wondering if anyone would be open to sharing what their policy/procedures are when a practitioner transitions to be becoming licensed and needs to start their credentialing applications.  For example, do you have a conversation with them about how the process works and its the expectation that they complete the applications on their own or do you have a packet of information/steps for them to follow. 


My goal is to have some type of process written but I dont want to do every step for them either so im looking for ideas on how other agencies/clinics handle this.  I know some places may have a designated person for this but Im a 1 man band over here so anything would help.

Thanks!

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Optum - Adoption of CASII Clinical Criteria - Effective January 31, 2020

Paula 4 years ago in User Group Help updated by maryjom 4 years ago 2

Hello - Does anyone know where Optum would like for us to submit the data on the information that we collect on the CASII's? This is effective today, January 31st. according to the September 2019 Newsletter and  it applies to most commercial and Medicaid programs.  Optum Provider relations do not have any information.  I have a message into my Optum Network Manager.  Does anyone else know anything?

Please Advise

Thank you

Paula

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Codes 96130 and 96131 Psychological and Neuro-psychological testing Evaluation

Kim N 4 years ago in User Group Help 0

Its been a few years since I have billed Testing codes, hoping someone can help me out....

Can these be billed on the same date of service as the DA?

What Clinical Documentation forms are you using to document the use of these codes. 

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Clients Scheduling through Client Portal

Paula 4 years ago in User Group Help updated by Mark Cornell 4 years ago 3

Good Morning!

Is anyone using this feature?  Allowing clients to schedule their appointments through the client portal?  How is it working? Are there any problems?

Replies are Appreciated!

Paula

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Optum Peer to Peer Review Phone Calls

ahuseby 4 years ago in User Group Help updated 4 years 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.

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We are unable to connect to Procentive right now....any one else

Tina B 4 years ago in User Group Help updated by tlien 4 years ago 7
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Taxonomy Code for EIDBI

kimr 5 years ago in User Group Help 0

What taxonomy code are providers using to bill for EIDBI services?

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codes

TVano 5 years ago in User Group Help updated by Shauna Dall 5 years ago 7

Hello Everyone,

DHS has now ended the bundled package of the H2012 (skills+group therapy) as of today according to their news letter. Does anyone know of another bundling code for these codes as this is a huge loss of revenue for us.

Any help is very much appreciated 

Thank you 

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Fixed

Can't log into Procentive

Kim N 5 years ago in User Group Help updated by John-Debbie Trunk 5 years ago 28

I can't log into Procentive this morning..

I receive this error:

Your connection is not private

Attackers might be trying to steal your information from app.procentive.com (for example, passwords, messages, or credit cards). Learn more

NET::ERR_CERT_DATE_INVALIDHelp improve Safe Browsing by sending some system information and page content to Google. Privacy policyBack to safetyHide advanced

This server could not prove that it is app.procentive.com; its security certificate expired yesterday. This may be caused by a misconfiguration or an attacker intercepting your connection. Your computer's clock is currently set to Thursday, May 2, 2019. Does that look right? If not, you should correct your system's clock and then refresh this page.

Any ideas? 

Answer
Amanda Kaufmann 5 years ago

Good Morning, 

Expired Certificate warning: Resolved

Early this morning Procentive was made aware of an Expired Certificate warning when users were logging on to Procentive. The cause of the issue was identified and the problem resolved by 7:45 a.m. CST. Throughout the time the warning was appearing for users, Procentive maintained encryption.

If you have any further questions about this incident, please submit a Support Ticket. 

Thank you for your patience, 

Amanda Kaufmann

Customer Success Manager