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?

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

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?

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?

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.

Has anyone had any luck billing UA's/drug screens to BCBS of MN?  We have quite a few clients w/BCBSMN PMAP policies, and we are writing off a lot in drug screens for clients.  Any ideas/codes/experience would be appreciated!

Does anyone have a procedure in place when a licensed clinician gets married/divorced and has a name change? Do you bill under both names until the change is complete with all payers?

Good Day!

The MN DHS Provider manual says the following about billing diagnostic assessments: 

- Complete all Diagnostic Assessment (DA) Report Components before billing a DA
- Enter the date of service for the DA as the date the written DA report is completed

We have always used the face-to-face date as the DOS to bill a DA, and are billing after the DA is marked audit ready (completed). The State of MN, however has advised us to bill the date of service as the date the DA report is completed. (This is documented by the MHCP provider manual and via email correspondence we have received. I have also heard this said by DHS staff directly!)

I realize that agencies who use Procentive do both -- that is bill with the DOS as the face-to-face date or bill the date of service with the date the DA is completed.

If you use the DA completion date as the DOS -- a couple of questions:

How is it working / what is your process?

Do you do the same for all payers: MA & Private?

Thank you!
Kim

Has anyone been receiving calls from UBH/OPTUM saying that clinical trainees cannot provide  Mental Health services even if they are clinically supervised by a credentialed/licensed LMFT?