Hello,

I have updated primary payer from Medicare to HealthPartners PMAP.

I did the wrong payer adjustment in payments module and used drop down to queue claims to HealthPartners PMAP.

# 1 the queued claims are now showing in the billing module

# 2 claims show 0 balance

I'm new to procentive so any help would be great. I need to get these claims billed out to HealthPartners.

Thank you

Would you recommend this resource for learning about new possible codes to bill, code stacking, NCCI edits, etc?

Hello,

We are wondering if anyone ever puts their clients on  "hold "some how to prevent for error billing when client is on furlough. 

TIA!

Is anyone else having issues with billing today?  It takes forever and I have to go in and out a few times before it will finally go through

Wondering if any others have billed Medicare for Alcohol screenings and counseling?  If so what codes did you use, I am not see any codes they recognize.

Alcohol misuse screenings & counseling

Medicare Part B (Medical Insurance) covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other primary care practitioner determines you’re misusing alcohol, you can get up to 4 brief face-to-face counseling sessions per year (if you’re competent and alert during counseling).

Is there a way to clean up an account if you happen to bill the wrong insurance to get rid of that line and only have the correct insurance line. I find that when I run the 1010 report and it shows the Amount column that I have to subtract the Wrong Payer adjustments to get the correct amount billed out. Anyone else have this issue or know of a way to get rid of the incorrect payer line other than adjusting it off.

Has anybody else been told F99 is no longer a valid code? MHCP told us that a claim did not get paid because as of June 2019 this code is no longer being used.

If this is the case, is there another code that will replace it? We use this when we do not have a specific DX for a client yet.

Outpatient mental health clinics- Do you have the same rate for services across all insurances and if so does it make your adjustments look high at the end of the month since a commercial insurance might pay more than MA? 

I have a therapist who saw a client for a DA, and the billing was denied because the client was seen at another clinic on the same day. (CP case) Is there any way to get reimbursed for that DA? Crisis add-ons wouldn't work?

Hello! 

I am wondering anyone who also billed medical services out of Procentive and if anyone had any good ideas/ systems they use for DX codes. Our issue for our NP who is now onsite is the DX  codes that save .. don't hold a description next to them. So every time she enters time she needs to re search each one to make sure they still apply to the client. 

This is very time consuming .. any advice would be great!!