We do not have professional billers at our organization.  It is required that our providers have an understanding of the codes they are selecting to bill.  With the new changes to the E/M coding we are wondering if we are selecting the E/M level based on Medical Decision Making can we bill both the E/M plus an add on psychotherapy code if the prescriber is providing psychotherapy during the session.  Client is scheduled for 30min appointment the prescriber selects a 99214 based on MDD and provides 20 minutes of psychotherapy can they bill both 99214 and 90833?  Can we bill a 99213 +90833 for a client who is seen for 40 min when selecting the E/M based on MDM? We appreciate any information that may be provided.  

I would like to try to set up Workflow definitions and alerts. Am I able to do that on my account only without it sending alerts to other Procentive accounts on my agency? I was hoping to learn more about the process before introducing it to our entire team. 

Is anyone else experiencing a delay on Blue Plus payments being delayed in Procentive? Money is in our account but no ERA... We are typically paid on Wednesdays... 

Thanks! 

Hello,

Has anyone billed the 99072 yet?  If yes, what were your results?  Thanks!

Sheryl

Wondering if anyone has had a similar experience with billing the new 99417 code to MN MA DHS?  It is being denied by MN MA DHS. We have called on the denial and  the call center states it can't be added to 99205 or 99215.  Which doesn't make sense as it was developed to only be added to those codes.  It is paying fine for other Payers....   Thoughts?

Hello,

Our mental health/occupational therapy clinic in Hutchinson is looking to possibly add a speech and language pathologist.  Anyone know a clinic I might be able to touch base with to get a sense of what their common billing and diagnosis codes are?  I have done research online, but a lot of it is greek to me!  Thanks!

Sheryl

Is anyone in the PRO community experiencing intermittent functionality this morning? My system is S L O W, it stops, and not operating 100%.

Debbie

Good Morning

Do I need to use a 59 modifier when billing an H2014 and an H0031 on the same day?  It is also the same therapist.

Thank you,

Laura

Does anyone know what POS I would use to bill a 90846 (family session w/o patient) when the patient herself is in an inpatient facility? 

The parents met with our provider to discuss plans for when the patient is discharged.   I billed it out as we normally would under POS 11, but BCBS denied saying we needed to use an inpatient POS, but we are an outpatient only clinic. 

Thanks 

We are contracted for these codes w/ Medica and UHC. It has been a nightmare going back to 2017 trying to get these codes authorized and paid. We have been working with our provider relations rep and are sending her all denials.

Now they are telling us it is more widespread than just our clinic. Just wondering if anyone else has the same issue.

Thanks....Tina