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ERA's not matching up in Payments module

Kayla Kenworthy vor 8 Jahren in Payments/ERA Modules 0

While I'm looking at payments (in the Payments module) I click on the ERA and it won't give me information for that specific provider. For instance, I'll want to see the MN-Its ERA for a DOS, and it will give me the ERA for their commercial insurance instead. Any reason why or can this get fixed?

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Client Module/Program Tab and reporting

Calah Hansen vor 8 Jahren in Reporting Module aktualisiert von mmckennan vor 8 Jahren 3

Does anyone use the "Inactive" checkbox and dates hyperlink in the Client Module/Program Tab?  We started using this keep track of when client enter and exit programs and also returning clients to the program.  How does this feature work for everyone?  Are there any standard procentive reports that will help me figure out a list of clients enrolled in a program during a specific length of time based on the dates?

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ERA PrimeWest Health 9/1/2017

Kali vor 8 Jahren in Payments/ERA Modules aktualisiert von ahuseby vor 8 Jahren 3

Any other clinics not receive their ERA from PrimeWest Health today 9/1/2017?

Thanks!

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H2015 UA location

Kayla Kenworthy vor 8 Jahren in Workflow Module aktualisiert von Kris Copeland vor 8 Jahren 1

For a H2015 UA code, what would you put for the place of service? I've had it office, telehealth, etc. and MN DHS will not cover

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report 3560 - Procentive Statements

Ashley Kallod vor 8 Jahren in Reporting Module aktualisiert von Kali vor 8 Jahren 2

Is anyone having an issue with report 3560 today?  We are trying to generate statements to send out to our clients, but we aren't getting very far!  I have set the parameters I want, and Procentive builds the statements, but the PDF fails to load.  I have been trying all morning and even moved to couple of other computers in office thinking I was having a compatibility error, but still no luck :-/

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Workflow not working

Rochelle Garcia vor 8 Jahren in Workflow Module aktualisiert von Ben Simpson vor 8 Jahren 5

Hello


Has anyone experienced the workflow module not working today? All of our staff has complained about their workflows popping up from 2014.  Even after sorting and filtering it still shows all of the projects in the module.

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Tricare revenue codes for Residential Treatment

Shondell vor 8 Jahren in Billing/Electronic Modules aktualisiert von anonymous vor 8 Jahren 11

Has anyone else billed Tricare for Residential Treatment?  No matter what revenue code I use, Tricare is rejecting my electronic claims and I cannot get them to go through.

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interactive complexity

Lisa_i vor 8 Jahren in Billing/Electronic Modules aktualisiert von LWright vor 8 Jahren 6

Hi all, Not sure I'm posting this in the correct forum. I'm looking for some information about coding for interactive complexity for clinicians doing play therapy. When adding this to 90837 or similar service line, do other clinicians typically record notes for both service lines or is a note for only one (or the other sufficient)? Our interactive complexity codes got denied and they were added at the same time as the main service code but notes were only included with the 90837 line so wondering if that was the problem. Any help with this would be welcome.

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L6:IX

Kayla Kenworthy vor 8 Jahren in Billing/Electronic Modules aktualisiert von TessaLasky vor 8 Jahren 1

I'm fairly new to Procentive, so this subject may have been covered...


I got a calim back from UCare. It has takebacks which are fine...after processing almost everything in the claim, I'm still 2.77 short for a payment on a claim. That amount is in the left hand corner of the ERA in a blue dotted box  that says:


Date              Code        Adjustment

12/31/2017    L6:IX        2.77


Is that available to use? If so, how do I process it? I found information on the Procentive Knowledge Hub about interest payments, but that doesn't seem correct.


TIA!

Antwort
TessaLasky vor 8 Jahren

Hi Kayla!

I have had to ask Procentive about this before. We were told that this is interest and can be posted in the "Refunds" module. Hit "Add" and once you select the payer it will automatically come up. Make sure you change the drop down "refund" to "interest" and check that the date matches.

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90899 Information

John-Debbie Trunk vor 8 Jahren in Codes/Rates/Diagnosis Modules aktualisiert von Sheryl Martin vor 8 Jahren 7

Hello , ,


Is there anyone who can provide information regarding CPT Code 90889. What kind of process do we need to follow to get reimbursed for this codes. Is it covered by PMAP plans, MA, Commercial Payers, if so which ones?  Does it require prior authorizations. Thank you.