You may be aware that on Wednesday, September 30 there are certain ICD-10 diagnoses that will expire. These expired diagnoses will be replaced by updated codes on October 1.

Please familiarize yourself with the list of changes in preparation for this change. The new ICD-10 codes have been added to the Procentive master list and can be added to your Diagnosis Module at any time.

These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.

For your convenience the full 2021 ICD-10 Table and Index (PDF, published by CMS) is available here (obtained from CMS.gov).

Each agency is responsible for adding and removing diagnoses as they deem necessary based on the services they provide. For a guide on updating your Diagnoses Module, please see this article on our Knowledge Hub.

Any expired diagnoses submitted on claims for DOS 10/01/2020 and later will be rejected. For assistance with these rejections please review this article on our Knowledge Hub.

If you need further assistance please submit a ticket to the Procentive Support Desk.

BCBS posted a Provider Bulliten on 4/10/2019 stating that as of 5/1/2019 we should bill the R25 Assessment with the HF Modifier to distinguuish between it and the Comprehensive Assessment. 

Yesterday we received two ERAs for DOS January - April 2019 where they reprocessed ALL of our R25's as Comps since they were billed with no HF Modifier. The communication I have clearly states it went into effect on 5/1/2019. We get paid more for our R25 so it is resulting in a large takeback.

Thoughts?

Jeremy

Hi All,

Just wanted to let you know we've been made aware that MA is slower than normal getting their remits out this week.

We will be keeping an eye on this and update you when we can.

Thank you,

Procentive Team

Has anyone else noticed a delay in how long it takes to see ERAs from MN-ITS in Procentive?  There has has always been some lag, however we don't have our yet.  It looks like the files are available in MN-ITS as of 9/13 but not into Procentive yet....

Is there a report that shows if the client hasnt been seen within in a period of time

We have several different facilities (Common Ground and Valley View Receover Center) under our Procentive plan,  I need to know how to enter each organization as a separate billing and payment entity. Currently the NPI and billing information is for Common Ground and I need to be able to manage only Valley View Recovery clients, clinical notes, payments and reporting.

I am wondering what report would show the Client Name and DOB for all clients in a particular department such as outpatient?

Does anyone know of a report that shows the staff that sent the Client Portal Invitation to a client?  I have a client that received a client portal invitation and we are trying to figure out how it was sent because all of our office staff state they never sent it.

I thought when I went to the Client Portal Manager and looked up the client that information would be there but im not seeing.

Thanks

We have had a couple providers receive a letter from BCBS about their "higher than the expected billing distribution" for code 90837.  It''s asks that the provider contact their "Provider Education Team" so they can "further understand your coding methodologies and billing practices."

Has anyone else received one of these?  

Thanks!