We have a fully licensed LMFT who is credentialed with Medica...but has a client that has a Medica Medicare-provider-only plan. I want to bill with a Medicare provider as Billing Supervisor on these claims. 

The claims dept rep suggested this to us as a work-around but wanted to more research to make sure this is ok. 

FYI, I recently had some NGS/Medicare claims reject in the Electronic Module. In case anyone else has run into this, it's because as of 1/1/2020 NGS/Medicare will reject any claim using the old member ID #'s (social security #). 

Thanks, Sara

Does anyone use a different code for travel other than H0046.  Cigna states this code is no longer valid as of 2017 but of course wont advise on an updated code. Just wondering if any one else has come across this.  Client has MA as secondary so I just need them to deny as a non-covered service (if thats the case).  Thanks!

Hello,

Our facility is exploring the option of providing Adult Day Treatment. My initial research show this is generally billed under H2012. 

I was curious if anyone would be willing to share their experience with billing this type of service. I also open to any resources or general knowledge you are willing to share. 

Thank you,

Jeremy Roelofs-Lynch

Billing Manager

jroelofslynch@parktx.com

We have some clients coming in for various things, primarily psychological testing for citizenship, and they often require an interpreter.  Most of these folks do have MA/PMAPs, but a few do not and we want to know if we are allowed to bill the client for those services. 

Hello

I was wondering if other Procentive users have any set parameters around the travel code H0046 in order to avoid a clinician accidentally entering incorrect amount of units. Currently when entering time,  the clinician enters the amount of minutes and Procentive calculates the amount of units. If the clinician accidentally enters the incorrect amount of minutes then we have an issue.  Im looking to see if anyone puts a cap on the amount of units allowed for this code or any ideas to help prevent this from happening.  

I usually catch these in the billing module but since I cant access the progress note from the billing module sometimes it becomes a bit of a task to figure out what is the correct amount.  Also, do you require your clinicians to write a separate note for travel or just include travel time information in the progress note.

Thanks

hello,

With residential CD billing we do a day rate treatment. Procentive requires us to have rendering provider type 1 NPI we bill under although technically all services delivered are covered/ housed by The facility's NPI. So we put in our executive directors NPI to satisfy procentive. if you go directly onto the MA website and bill for example I can list our facility ID as rendering. 

This has been fine for residential as we enter and send the time in the billing office.

No having opened OP CD though, we have multiple employees entering time. So it's separating claims funny and doing some odd stuff. Is there a way to get it to send with JUST our facility NPI? As that is sufficient for billing because we house our LADC's under our license. 

My thought is maybe adding a "staff" member who is our Treatment facility name - then our NPI and attaching that as billing supervisor to our OP time entries? 

TIA ~  

We have a client that was being seen for a diagnostic assessment, but the client walked out after 20 minutes. Has anyone else had a situation like this and if so, how did you bill? It doesn’t seem to fit the DA requirements, but maybe it can be billed as an individual psychotherapy session?

I know that the clincial supervisor is for licensure purpostes but what is the guidelines for the billing supervisor?  I'm not finding much info on the rules of a billing supervisor on a claim. What guidelines constitue a billing supervisor? Can a LGSW who is being surpervised by a LICSW have a billing supervisor that is a CNP?