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?

I am following up on recent Procentive User Forum discussions about telehealth, in particular the question of whether insurance companies doing business in MN pay for telehealth when the recipient is in their home.  I am working my way through the local and national companies, and so far every company  has told me that they pay for telehealth when the recipient is in their home. 

The outlier is BCBS MN, which has a policy that clearly states that payment is limited to services provided when the recipient is located at "another facility.

I have had an interesting exchange with a BCBS MN representative.  He confirmed that they pay only for services provided when the recipient is in another facility, and not in the home. I pointed out, however, that DHS specifically covers telehealth when the recipient is in their home, and BCBS has a PMAP contract which requires them to cover DHS benefits. He acknowledged this and said that he would "have to research this further." I have not heard back, but it has only been a week and I expect that he will have to work with others at BCBS internally to sort this out. 

Stay tuned.

We have never billed for this service.  Everything I read says that I need to put the medication information on the claim.  I'm wondering if anyone has worked with this before.

Has anyone successfully navigated the new Tricare online-only authorization request system? 

Is anyone using the client portal for statements rather than mailing them?

If so, please share any info...

Thanks

Can someone explain automatic adjustments? I've noticed that they appear out of no where. Why are they popping up and how are they getting the information? Last month, I had to clean up many patient accounts for statements because the adjustments were everywhere.

Any information is appreciated.

Thank you!

Hello,

Does anyone have any experience billing telehealth to PreferredOne? I am trying to determine what codes need to be used.

Thank you for any assistance!

 Is there is a report that can be run to print copays paid weekly in outpatient?