Procentive will be undergoing a scheduled maintenance window this weekend between 11PM CT on 10/20/2018 and 3AM CT on 10/21/2018. 

The system may be unavailable intermittently during this maintenance period. We are only anticipating minutes of downtime but the scheduled window will last 4 hours. 

Thank you for your patience as we continue to improve our system.

Hello,

We are currently billing out 90899 for one of our therapists for animal assisted therapy. MA has stated they DO reimburse for 90899 Animal Assisted therapy but it needs a modifier. We are unable to located one. When looking the HCPCS it only has modifiers occupational therapy, physical therapy and speech therapy. Does anyone know what modifier we could use for mental health therapy? 

THanks! 

I'm looking for the McKesson Interqual criteria for EIBI that BCBS of MN is referencing in their denials. Does someone have it that they can share or direct me where to find it?  Any guidance would be much appreciated!

We are wondering if any clinic has ever billed Medicare IOP(Intensive Outpatient Program) services, if so what code?  Any information would be helpful.

Hello,

I am trying to set up billing a secondary insurance for our locations -- they have never done this in the past!

I found the settings but after some initial testing it wasn't populating the correct $$$ on the claim(s). There are multiple Yes/No options...help!

Use these settings when a payer is the secondary payer:

Subtract these when computing invoice charge on claim:  

Add these when computing the prior payment:             

Subtract these when calculating the invoice charge:

I am hoping someone can share ideas/best practices on how to get secondary payer billed launched.

Thank you!

Was kicked out of Procentive and unable to get logged back into Procentive for 10 minutes now.  Is anyone else experiencing this too?

We are attempting to bill an IFB (Individual & Family Business) plan that requires the referring provider on the claim. I am having trouble getting this populated. 

Where is this pulled from in Procentive?

Any help is appreciated! 

JRL

We found CPT code 90849- Multiple-family group psychotherapy, however the description states when the patient is present with his or her family, as well as other patients and families for 50 minutes.  Any information provided is appreciated.

Does anyone send in client wellness assessments to Medica after a client has been seen the first or second time? Also do you fill out the form on the Optum website that reports how many complaints you have had for the quarter from Medica clients?