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Electronic Billing of CHAMPVA

Vicki/Billing 6 years ago in Billing/Electronic Modules updated 6 years ago 7

Does anyone bill their claims electronically to CHAMPVA?  We tried years ago but were told that the claims must have the licensure of the therapist on them (Since they don't credential).  Paper claims take forever to process.  Thanks

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Has anyone billed 96101 GY to BCBS MN?

I have a MA, LP who has an intake that has Medicare as primary insurance and BCBS as their secondary plan. The rendering provider did not renew his contract with Medicare. I'd like to know if anyone has billed 96101 GY to BCBS successfully? Thank you.

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Coding Question

Jill 6 years ago in Billing/Electronic Modules updated 6 years ago 2

I am looking for some advice in coding an individual therapy session that lasted for 2 hours.  I believe the 90837 is for 60-90 minute sessions, correct?  I appreciate any assistance you can provide!

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dual diagnosis billing for outpatient and CD services?

Jana 6 years ago in Billing/Electronic Modules 0

Do any other agencies have experience billing integrated dual diagnosis?  We provide service through our psychiatric IOP program and CD treatment program - wondering if there is a billing code/modifier to use when clients are served in both programs at the same time.  BCBS ND is one of our largest payers for these clients.  Thanks in advance!

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psychiatry billing codes

Jana 6 years ago in Billing/Electronic Modules 0

Are any other agencies billing psychiatry services and if so, what code do you use for coordination of care?   thanks

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Eligibility Module Question

We would like to cut down on the volume of rejections for reason code 24 (PMAP has changed). I am wondering if there is a way when I pull eligibility to see if a PMAP has changed for all of our clients?

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Constantly getting kicked out

I'm constantly getting kicked out of Procentive right now.  This began around 4:00pm today.  Is this isolated, or are others experiencing this?

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Billing Set-Up - add-on codes

Christopher Burt 6 years ago in Billing/Electronic Modules updated by Kayla Kenworthy 6 years ago 1

We are new to billing add-on codes, I think I have it set up right, but I am having a little bit of an issue.


We require audit ready notes before billing out the service line, but I've noticed that the add-on codes are billing out when a batch bill is sent out, even if the original note with the first 30 minutes service line is not yet audit ready.


So it looks like:


0364T code attached to a progress note

0365T code also created as an add-on


0364T code needs an audit ready note attached to the line - it isn't audit ready yet 

0365T bills out even if 0364T isn't ready.


Is there a way to set it up where the add-on code does not bill out until the original code is audit ready?

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Credit Card Processing through Procentive

Has any other company used the credit card feature through Procentive?  If so, when the credit card company takes off their percentage, how and when do you show that on the client's transaction/payment?

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Eligibility connection

Is anyone else having any issues running eligibility?  When we run ours thru the module and refresh when complete, everyone of the clients is coming back marked as "active" when they are not eligible.  And on the other spectrum, ones that are truly active are coming back as "inactive"  

We have started a ticket, hopefully this will resolve ASAP as tomorrow is the first and the vast majority of our clients are MA/PMAP clients.