No Surprises Act and Good Faith Estimate

Jana 1 год назад в Industry News/Discussion обновлен 1 год назад 8

Hello, is anyone currently using or in the process of creating a Good Faith Estimate for cost of service (as required for the No Surprises Act)?  Just wanting to team up on this if possible so we are not recreating the wheel if someone is already underway with something.   thanks!


A Freebie For Our Mental Health Professionals

I saw this posted today and I hope many of you could utilize this during stressful times like now.

Headspace is offering FREE access for the rest of the year to Health Care Professionals.  It is an app that helps you relieve stress, sleep better, and become more mindful.  Click here to check out the deal.

Hopefully there will be more things that I can post on here to help out our overworked Health Care Professionals.

We here at Procentive appreciate everything you do!


UHC/Optum Claims

TessaLasky 5 лет назад в Industry News/Discussion обновлен sarah 5 лет назад 2


Since the new year all of our claims have come back denied for contractual obligation (code 45). Even on clients that we did not have trouble with previously, we are now having issues with claims coming back this way. Mostly seeing this for code H2014 which is not covered, but we are not getting a denial that we can send to secondary.

I am wondering if there was an update or something that we missed and we are sending our claims to the wrong place? Has anyone heard anything?

If it matters, we preform outpatient mental health services in Minnesota.

We have had a nightmare of a time dealing with United Healthcare and the Optum side. Being one is behavioral health and the other is the actual insurance plan, you would think they communicate with each other.

Thanks in advance!


Medical Assistance Mental Health Copay Write off?

Kayla Kenworthy 5 лет назад в Industry News/Discussion 0

Good Afternoon everyone! I've been getting the run around, so I'm hoping someone has some advice.

I bill for a mental health facility in Minnesota. While looking online at our MN DHS website, I found a few different documents staying there are no copays for mental health visits. 

I contacted the state, and the rep I talked with said that we are supposed to write off copays and deductibles for patients with MA or a PMAP. Spend downs not included. 

This has put a lot of discussion into our office lately. 

Has anyone heard of this? These patients' claims are being sent and coming back with a Patient Responsiblility, so I would assume that if they had no copay, they wouldn't use a PR reasoning code.

Any info is appreciated! 

Thank you!



Sheryl Martin 6 лет назад в Industry News/Discussion обновлен anonymous 5 лет назад 9

Can anyone share what system/program you are using for telehealth appointments?  Pros, cons?  Thank you in advance!



MN CTSS agencies - unannounced site visit questions

Jana 6 лет назад в Industry News/Discussion обновлен Suzette Mallum 6 лет назад 4

For any of you who are MN CTSS providers -

1. Has anyone had an unannounced site visit?

2. If you have more than one CTSS location, is each site individually certified for CTSS svcs?

3. For your Disclosure of Ownership form, who do you have listed as having "ownership" in your organization?  (Board of Directors, President/CEO, supervisors, etc.)

4. Is everyone aware there is a state-approved interpreter list and only those interpreters are reimbursable by state funds?

Thanks in advance for your input!


covid testing

LaVonne James 7 месяцев назад в Industry News/Discussion 0

Has anyone been able to bill for covid testing in a CLIA Waivered lab? We have clients in our Residential and IOP SUD program that we could do testing in our separate Lab and have nurses who could administer. Has anyone had any luck or found it not possible?


Dragon Software

scarroll 10 месяцев назад в Industry News/Discussion 0

Looking to implement Dragon Software for Clinical Staff.  Wondering if others have used this? Thoughts? Any recommendations on which version? 


Gender neutral wording in Procentive docs

Kim Ross 12 месяцев назад в Industry News/Discussion обновлен Laura Anderson 11 месяцев назад 1

How is everyone making sure clinical documents, intake paperwork, treatment plan templates, Therascribe, and other Procentive content is gender neutral?

For example, we use Therascribe, and the treatment plans used with in Therascribe use he/she. 

Thanks all!


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