We are skipping Medicare for an unlicensed therapist, adding a GY modifier, and sending it to MA/PMA. (FIRST, skipping Medicare)  MA/PMAP denying due to billed to wrong insurance (Not Primary). Medicare denies for Unlicensed therapists. Please help me what are we doing incorrectly?

Anyone have an idea if Health Partners or (Any other commercial plans) Deny payment based on place of service (Anything other than Office or Telehealth) This one in question pertains to "School" as the place of service, the therapist is the treating provider. 

Does anyone know what is wrong when billing a 90837 and a 90899 I keep getting the denial code of 4. The 90899 was billed with the U9 and U4 modifier. Thanks

Hello everyone!

I just wanted you to know we have updated our Enhancement Request Process.

Please go to our Live Updates page to see how the process will now take place.

Here is an update from the MN DHS regarding the policy for requiring signatures for a service plan:

Am looking for others experience with using client portal to facilitate timely signing of treatment plans by parent/or guardian of minors. Our agency is considering this -- but are also aware there is some significant front end work by admin to get each client signed up. Given your experience, is it worth it? Did timely signing of Tx plans go up? What do your clients say about the experience. 

Any other feedback about your experience using this feature will be greatly appreciated.

Thank you.

Jill

Has anyone had any issues with MA and their billing location NPI dropping off claims and then MA denying? the NPI for the specific service provider locations seem to be dropping off the claims, resulting in multiple denials that we are manually fixing in MN-its.

Any feedback would be helpful. Thank you

We have put a ticket, but just aren't having any luck. Also have tired calling the state and there is no internal issues on their end. 

Has anyone else been having trouble with BCBS MN telehealth claims?  I'm having trouble billing our outpatient CD groups for telehealth.  I'm billing H2035 HQ with rev codes 0944 or 0945, no modifier and POS 02.  I've also tried billing with a modifier of 95.  I continue to get rejections with the following message:  "Error Message: Category: Acknowledgement/Rejected for relational field in error.  Status: Claim submitted to incorrect payer Entity: Billing Provider"

I'm unsure what to do or what to change as my Blue Plus claims are going through correctly at this point for the same provider and codes.

Does anyone store psycotherapy notes (therapist's personal notes) anywhere on Procentive?  Looking for a work around for our therapists that take brief notes to reference in future sessions, but need to keep them secure while working remotely--and separate from the official medical file.