New testing code fees
We are getting ready to start billing the new testing codes and we are not sure what we should charge for these new codes. Could anybody share their fees or thoughts?
thank you!
T1016
Has anyone been successful in setting up code T1016 in Procentive and getting paid by insurances?
There has been much back and fourth on this thread of what everyone is hearing and expressing frustration. We understand the extremely difficult circumstance you are in and we have been invested in seeking truth with facts on this situation and here is what we have found:
- - We have had several agencies receive an ERA from Blue Plus (00562) although only professional claims at this point in very small dollar amounts. The ERA payer column will read “BLUE PLUS OF MINNESOTA”
- - 1/3rd of those agencies have confirmed (we called them) they had an ACH payment into their bank for the exact amount on the ERA. At the top of the ERA when opened, the Method will read ACH.
- - The agencies who received these EFT/ACH payments DID NOT do anything extra or different with registration, re-processing, etc.
Blue Plus has contracted Amerigroup Health Solutions to process these claims. Amerigroup is required to abide by the terms from Blue Plus which means you DO NOT need to register, or re-process claims. If you had ERAs and/or EFT set up before the change it will continue moving forward- no further action required. Blue Plus is aware some agencies have been told they will get a paper check mailed to them but that was an error and should not continue to happen.
We are continuing to run reports daily to track agencies getting ERAs and hope to see this number continue to rise. We will continue to post updates as we see other improvement.
Change address on statement to rep payee?
Does anyone know of a way to have an alternate mailing address be put on 3560 Statements? We serve numerous clients who have rep payees, and these statements should not be sent to the clients. Without an option to select an alternate address to be printed on these statements, it's rather cumbersome and time consuming trying to remember which clients have rep payees. It also adds quite a bit of time to write/print the correct address on envelopes instead of just using window envelopes designed to accommodate these statements.
Paper Invoice Signatures
Hello,
I am just wondering what other companies do for the signature box on the paper invoices. There is a signature box with a staff name underneath it (pulls from payers module-->Payer Rules--> Custom staff name). Do any of you have multiple people billing paper claims? How do you go about having the staff name match the person signing off every time in this case? Is there a way to have a general staff name here that would still work for billing? Just brainstorming ideas..
travel app
Is anyone using a travel app for community based work to track client travel? I would love to hear the pros and cons of the app you are using..
Procentive Updates
For live updates regarding Procentive please use the link here to our Live Updates Page.
Thank you,
Amanda Kaufmann
Customer Training and Support Specialist
BCBS PMAP Amerigroup
Good afternoon,
Has anyone received any remits yet from Amerigroup (BCBS PMAP) claims?
Ticketing Delays
Is anyone else having issues with tickets in Procentive being addressed in a timely fashion? The last couple of tickets I have sent into Procentive, it has taken at least a week for someone to get assigned to my ticket, and longer to answer the question. I wouldn't normally be bothered, but with the new changes to the payer IDs as of the beginning of the year, it has really caused an issue with billing services out in a timely manner. Thank you!
Good Morning,
I would like to address a couple of the comments listed within this string. While December, January, and September are our highest ticket/chat months we truly strive to stay on top of your questions and requests.
First, We would like to apologize for ticket response times which are outside of our ticketing guidelines (found here: Ticketing Priorities). We are working on a ticket review for all open tickets and we do see a few which have been unaddressed for too long. You will see a reply shortly, if not please re-contact us to draw our attention to it.
Second: The due date field within tickets is only for your internal purposes and Procentive does not view them. We base our response times off the ticket priority and issue to be addressed.
Again, I apologize for any frustration you and your staff may have experienced while waiting or a reply.
Amanda Kaufmann
Customer Success Manager
CPT 96136 - New psychological testing code
Has anyone had anyone found documentation regarding the billing of this code? We are questioning the two or more tests requirement before this can be billed. All I have found is that it means in a session. Is a session each day or is the session the whole testing time from start to finish? How is everyone else handling this?
Customer support service by UserEcho
