Outpatient mental health clinics- Do you have the same rate for services across all insurances and if so does it make your adjustments look high at the end of the month since a commercial insurance might pay more than MA? 

I have a therapist who saw a client for a DA, and the billing was denied because the client was seen at another clinic on the same day. (CP case) Is there any way to get reimbursed for that DA? Crisis add-ons wouldn't work?

Hello! 

I am wondering anyone who also billed medical services out of Procentive and if anyone had any good ideas/ systems they use for DX codes. Our issue for our NP who is now onsite is the DX  codes that save .. don't hold a description next to them. So every time she enters time she needs to re search each one to make sure they still apply to the client. 

This is very time consuming .. any advice would be great!! 

Hi Everyone,

Just got message from our Ucare rep saying they did an internal audit and need to recoup. Sounds like there was an internal issue. Did anyone else get called/emailed about this?

How is ARMHS billing going for other providers? Are you seeing shorted payments, a lot of denials, etc. Looking for feedback on any ARMHS billing experiences, issues, ideas, etc. Thanks everyone!

Just wondering with other outpatient mental health clinics, when doing psychological testing for commercial clients, do you require a certain amount down for the services ahead of time or just wait for it to all be ran through insurance? Example: Psychosexual evaluations.

We have recently become a contracted provider for providing CW-Targeted Case Management services and we are trying to bill for these services in Procentive and send them electronically to MN MA, but we are running into the claims wanting to error out for a diagnosis code.  What have others used for this diagnosis requirement?

Does anyone in the community currently use another room & board code beside 1002? We are looking to bill room & board without the residential treatment for our teen clients. Do you know if this would be 1003 or something else? If it's 1003, do you know if you can bill outpatient services at the same time?

Has anyone had success billing clients with BCBS MSHO plans with policy numbers starting with JTM. The policy numbers changed in 2019 and are now being rejected saying that they must be submitted under the appropriate Medicaid payer names. I can't find what changed in 2019 or get any answers from BCBS

I haven't seen that our ERA from DHS come in.  Does anyone know if there is a delay?