I'm constantly getting kicked out of Procentive right now.  This began around 4:00pm today.  Is this isolated, or are others experiencing this?

Looking for recommendations of agencies that provide credentialing support.  We are considering outsourcing it. We are a Wisconsin based provider. 

I have been getting copay's denied when sending to secondary.  Primary insurance processes and the is saved thru the ERA and then I queue it it up for the secondary and it gets denied.

Any Ideas?

We are new to billing add-on codes, I think I have it set up right, but I am having a little bit of an issue.

We require audit ready notes before billing out the service line, but I've noticed that the add-on codes are billing out when a batch bill is sent out, even if the original note with the first 30 minutes service line is not yet audit ready.

So it looks like:

0364T code attached to a progress note

0365T code also created as an add-on

0364T code needs an audit ready note attached to the line - it isn't audit ready yet 

0365T bills out even if 0364T isn't ready.

Is there a way to set it up where the add-on code does not bill out until the original code is audit ready?

Has any other company used the credit card feature through Procentive?  If so, when the credit card company takes off their percentage, how and when do you show that on the client's transaction/payment?

Is anyone else having any issues running eligibility?  When we run ours thru the module and refresh when complete, everyone of the clients is coming back marked as "active" when they are not eligible.  And on the other spectrum, ones that are truly active are coming back as "inactive"  

We have started a ticket, hopefully this will resolve ASAP as tomorrow is the first and the vast majority of our clients are MA/PMAP clients.

We are new to billing Rule 31 (COD) claims and billing codes H2035 HQ HH and H2035 HH and some of the payers say they require a revenue code of 905 with those codes. I understand rev codes are billed on institutional claims and we currently only bill professional claims, since we are an outpatient clinic. Our clinic directors say we should not bill Institutional claims, since we are not a facility or a residential treatment center. Procentive has told us that some payers require this but it's  hard to wrap our mind around billing a totally different way. We have not worked with the admission field yet and know this is part of institutional claims. Basically, just wondering if anyone else has experience with this? Please help. THank you!

We have been noticing that since the beginning of the year we have been getting paid less than half of what our usual contracted rate is for residential substance abuse treatment. Has anyone else been experiencing this? Do you know if there is new contracted rates?

We have been made aware that all claims submitted to the Availity Clearinghouse as of yesterday (5/22/18) are still in "Sent" status and do not have a 999 file.

This is currently being researched by our Engineering Team and with Availity directly.

More information will be posted to this Known Issue, as it becomes available.

HI all,

I am hoping for some guidance on workflow definitions module set-up for Clients that have not had a service in the past 60 days.  Our clinicians would like to be notified when a client reaches 60 days with no service so they can complete the "Discharge".  We have tried running report 3140 "Inactive Clients" but would prefer an automated notice to clinicians.  Some of our clients are enrolled in multiple programs or have multiple staff associated with the client.  We typically have the outpatient MH program and outpatient MH staff person as primary.  Clients that are enrolled in School LInked Mental Health (SLMH) are listed as Primary (if no outpatient MH program/staff) or Non-Primary (if the client has a primary outpatient MH program/staff).  Has anyone set-up workfows with multiple rules or do you just separate this into 2 workflows based on program?  Any help or ideas/suggestions is greatly appreciated!

Workflow Type: Client Workflow

Workflow Rule: No service in the past 60 days

Workflow Trigger: Days without service

Days: 60

Assigned Staff: Primary staff associated with Client or Non-Primary staff associated with Client