Here is a list of things to do now that you are here.
1. Personalize Your Profile In the upper right-hand corner, click your username and choose "User profile" to complete your name, add a photo ("avatar") and title, and set a Password.
2. Review Community Guidelines click here
3. Post & Participate Present your thoughts & ideas to generate discussion and responses from other Procentive Users!
Latest Updates 969
BCBS posted a Provider Bulliten on 4/10/2019 stating that as of 5/1/2019 we should bill the R25 Assessment with the HF Modifier to distinguuish between it and the Comprehensive Assessment.
Yesterday we received two ERAs for DOS January - April 2019 where they reprocessed ALL of our R25's as Comps since they were billed with no HF Modifier. The communication I have clearly states it went into effect on 5/1/2019. We get paid more for our R25 so it is resulting in a large takeback.
You may be aware that on Wednesday, September 30 there are certain ICD-10 diagnoses that will expire. These expired diagnoses will be replaced by updated codes on October 1.
Please familiarize yourself with the list of changes in preparation for this change. The new ICD-10 codes have been added to the Procentive master list and can be added to your Diagnosis Module at any time.
These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.
Each agency is responsible for adding and removing diagnoses as they deem necessary based on the services they provide. For a guide on updating your Diagnoses Module, please see this article on our Knowledge Hub.
Any expired diagnoses submitted on claims for DOS 10/01/2020 and later will be rejected. For assistance with these rejections please review this article on our Knowledge Hub.
If you need further assistance please submit a ticket to the Procentive Support Desk.
Has anyone else noticed a delay in how long it takes to see ERAs from MN-ITS in Procentive? There has has always been some lag, however we don't have our yet. It looks like the files are available in MN-ITS as of 9/13 but not into Procentive yet....
Customer support service by UserEcho