With clinical trainees, is the clinical supervisor (the one who fills the role of CS as defined by MN Statute) often times different than the billing supervisor? If so, what criteria do you use to choose a billing supervisor NPI to travel with the claim.

In the Procentive staff module, there are 2 fields: one for billing super and one for clinical super. In the payer module, there is also a field for billing supervisor which is the NPI that gets billed with a clinical trainee's service lines.

I'd like to hear how agencies are using the Procentive features, and how they decide which NPI to send with the claim.

Thanks!

Kim

Hello. We recently hired an Advanced Practice Psychiatric Nurse Practitioner to our staff and are working on figuring out what rates to bill for her services.

Does anyone currently have a NP and if so what are you billing for an intake (1 hr) session and a follow up/med check session (20 min)??? What rates do you charge for Private Pay sessions?

What Place of Service are providers billing for CTSS? We are co-located in the schools with our own offices seeing clients.

We are billing POS 3-school and are getting some denials from TEAM (BCBS), Cigna and some UBH plans. Are there other POS codes we should use for this?

Thanks!

We will be starting to bill for CTSS services. Is there a resource or training that will help me bill this accurately?

Hearing that the CMS is establishing collaborative care billing codes got my hopes up that my therapists who specialize in children could begin billing for time they spend collaborating with teachers, PCA's, other providers etc.. But looking more closely at the specifics it appears these codes are only for primary providers. Does anyone know how to bill for time spent collaborating on behalf of a patient? Or is that time always considered part of the in-session billing code (i.e 90837)?

Anyone else having all of your H2019 U1 and H2019 U1 HQ (DBT codes) denying from Aetna or BCBS PMAP for DOS in 2017? Aetna is denying CO 45 because the system is not recognizing the modifiers of U1 and U1 HQ. Similiar issue with BCBS PMAP, their new claims system is not reading the modifiers, so they are denying CO 96 bc they think it's a hospital visit. This impacts our clinic in a huge way. If you're having the same issues, please contact your BCBS rep and let them know so they will understand how big of an impact this is. We don't really have an Aetna rep, so I have no one to communicate this with, except calling to get the claims reprocessed, which I should not have to do!

Great news! Our electronic client payments integration is now up and running. We just recently did a live demo last Thursday. But if you weren't able to attend, you can view a recording of it below or view an article on it in our Knowledge Hub here.

We are very excited to be partnering with Complete Merchant Solutions for this integration into Procentive. If you know that you are interested and want to find out more information, simply click here.