I've been noticing the last few Ucare PMAP ERA's have been denying every claim with a "UA" modifier. Is it something I'm doing wrong, or is it an issue with UCare? Anyone else been having these issues?

Good afternoon!

Our organization is trying to determine the most accurate report that will tell us how much we have been paid based on date of service.  For example, for services that were done during the month of July 2017 how much did we actually get paid.  We only want this to be payments, takeback credits, and credits.  How do we also take into account takebacks?  My thought is to run Report 1370 and filter by date of service and then include the fields Amount Paid, Credits, Takeback Credits, and Takebacks.  Anyone else have experience with this?

Thanks & have a great day!

Jill

Hello,

It has been brought to our attention that Dr. First is currently experiencing an issue that effects newly enrolled providers. If you have recently completed the activation process for Dr. First, but are not able log on to the medication Module, please send a trouble ticket to Procentive. This bug will only effect a newly enrolled provider’s initial log on to the Medication Module.

Any additional updates will be posted to this Known Issue as they become available.

The LP at our clinic is giving away testing materials that she does not use.  If you could use these materials, I will send them to you.  We would ask that you pay for the postage.  Please email me at Paulacfcinc@gmail.com if you are interested.  Thank you!

25 copies  - Conners ADHD Rating Scale - Parents Form

25 copies - NEPSY II - Second Edition - Ages 3-4 - Record Form

25 copies - NEPSY II - Second Edition - Ages 3-4 - Response Booklet

20 copies - Wechsler Nonverbal Scale of Ability - Record Form

20 copies - Wechsler Nonverbal Scale of Ability - Response Booklet

Good morning!  I am wondering if anyone has advice on managing the process of reimbursement rate changes from our various payers.  Do you rely on the bulletins that are sent out or do you just watch the EOBs to know if/when rates change?  Or do I need to be going online and watching fee schedules?  If you are able to respond and let me know how this is done at your organization I would be grateful.

Thanks & have a great day!

Jill

Good afternoon!  This may be a basic question, but at the risk of sounding "un-informed" I'm going to ask it anyway :)

I was recently made aware that a modifier can be used on claims to indicate when a client has a co-occurring diagnosis.  For example, a chemical dependency diagnosis along with a mental health diagnosis.  I was told that this could potentially result in a higher payments.  Do you know if this is the case and what that modifier is?

If you only have 2 clients enrolled in a day treatment for the 3 hour group sessions. An Statute states you have to have 3 "enrolled" to be considered day treatment. Can you bill out "individual skills" for 2 hours until more clients enroll to become a group again? Low numbers are due to discharging clients and no new referrals at this time.

Our practice needs to enroll with 4 different insurance companies and are looking for ways to make the enrollment process easier in general.  Does anyone know of, or use, a service that will enroll our practice to these payers for us?  With how time consuming the credentialing process is, we're hoping to eliminate the headache.

Thanks!

We have several programs that report to funders with alternate client ID #'s instead of the Procentive Client ID #.  For example the MN-ITS Client ID#, HMIS Client ID# or the HCM ID# for the SLMH groups out there.  It would be nice to have a spot to capture these alternate ID #'s in Procentive.  How have other people handled this?

Does anyone have suggestions on what Procentive report to run to collect data on the number of clients served in a particular program, broken out by Payer, age of client, county of financial responsibility and during a particular service period? I need to make sure that my data is not duplicated. For example, we often have clients enrolled in multiple programs within our agency. I only want to count each client once despite being in more than one program. 

This report may sound familiar to those users living in Hennepin County and completing the Hennepin County "Contracted Services Performance Report".  

Thank you!