I know the DA needs to be dated the date it is complete and signed. Has anybody heard that this is required for ALL services rendered to MA clients?

Hello,

Has anyone experienced delays in receiving their ERAs from MN-ITS in Procentive? We generally receive ours on Sunday or Monday of the payment week, but still have yet to receive them this week.

Chris

I am trying to get some information/clarity around using the U5 Modifier when billing out H2035. 

1. Does anyone else bill using this modifier?
2. Can anyone explain this Modifier to me? I am not having much luck on the old google machine!

Thank you

We are not a medicare facility. We are wondering if anyone has successfully billed out CCDTF funding from the county when given service authorization if a patient has medicare primary? The counties are saying it "overrides" if they are giving a service authorization but we are getting a kick back due to other payer.  

 It appears that when I use an HN modifier for BCBS (Amerigroup for medicaid clients) claims are incorrectly paying as if we are a Rule 29 clinic (physician's rate of pay).  How do I identify a supervised clinician if I can't use the HN modifier?

We are getting ready to start billing the new testing codes and we are not sure what we should charge for these new codes. Could anybody share their fees or thoughts?

thank you!

Hello,

I am just wondering what other companies do for the signature box on the paper invoices. There is a signature box with a staff name underneath it (pulls from payers module-->Payer Rules--> Custom staff name). Do any of you have multiple people billing paper claims? How do you go about having the staff name match the person signing off every time in this case? Is there a way to have a general staff name here that would still work for billing? Just brainstorming ideas.. 

Good afternoon,

Has anyone received any remits yet from Amerigroup (BCBS PMAP) claims? 

Is anyone else having issues with tickets in Procentive being addressed in a timely fashion? The last couple of tickets I have sent into Procentive, it has taken at least a week for someone to get assigned to my ticket, and longer to answer the question. I wouldn't normally be bothered, but with the new changes to the payer IDs as of the beginning of the year, it has really caused an issue with billing services out in a timely manner. Thank you!

Is anyone else having problems submitting claims to South Country?