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?

Does anyone bill their Rule 25 Assessment with a HF Modifier?

This was just brought to my attention that for PMAPs (UCare/Hennepin Health) we can bill the Rule 25 with the Modifier and bill the Comp Assess without it. The R25 would pay per our contract and the Comp Assess would pay the 162.24.

Any feedback would be greatly appreciated. 

I am having an issue of OP CD  sending as an admit to discharge on the UB04. I am not sure what setting to add to avoid this and not have to edit that each time. My understanding is you have to send with an admit date as they are in a specific program. Any advice is much appreciated. '

The only setting I could see that would help this is editing the "outpatient" to "inpatient" under residential so the claims sends with its proper 862/863/864 etc. 

Thanks! 

Is anyone else experiencing delayed payments for institutional claims with Blue Plus and Ucare?

Hello,

Wondering if our outpatient groups are entering time for just over 45 min. Can we bill the hour? Or how do we edit this ? 

I know with mental health there is a approved "gap" if it is greater than x amount of time you can choose the appropriate code. 

Wondering what that is for OP CD group. 

Hello - we have been billing Treatment Coordination (T1016 HN U8) for a handful of months and now want to look into billing this service when client is not present. 

I know that we are able to do this but have some questions I am hoping someone can provide some insight into:

1. Since the client is not present as long as it is noted appropriately it should not be seen as duplicate billing? i.e. the client is in group at the same time the TC is being completed without them present.

2. If TC is occurring through out the day in smaller increments can we bill for 1 unit if it totals 15 minutes? 

3. Any clinical documentation guidelines outside of the norm?

Thank you - Jeremy RL

I just noticed that the payer id for DHS looks different. Says MNMAG? What is this all about? And for some strange reason I am unable to open the data link in the Billing Module for any claims generated today. When I click on the data link, I either one or two error pages open instead.

Thanks, Sara