When billing with a GY modifier, is there an order in which the GY needs to be listed in when billing multiple modifiers?  

Does anyone know if I can/how I can associate a billing code for a specific program within Procentive?  For example, when our LADCs create a service line, I only want them to be able to see the billing codes specific to 245G, not codes for our residential and mental health clinic programs.

I tried figuring this out on my own, but have not been able to find something that may work for what I need.

Thanks

Does anyone know if there's a setting in Procentive to set payment terms when generating statements?  When generating statements from report 3560 I know I'm able to add information in the Instructions field, but the data I enter here does not appear on all of the generated statements.  It's inconsistent and appears random, almost as if this is a bug in the report.

Thanks in advance for the help or advice.

Just wanted to reach out to fellow providers to see if your agency has begun looking at what therapeutic services will look like once we are back in the office. Are you making changes to the office? Have state agencies released any "requirements" of what we will need to do in our offices post COVID 19? 

Thanks!

We billed an H0032, 90791, 90834, and Ucare paid the H0032 and the 90791 rejected the 90834. If I do a replacement claim what code or codes should get the 59 modifiers as an add on?

I am wondering what video system everyone is using to see your clients for tele-health? Are there agencies using theralink through Procentive? We had already been using the state Vidyo system already, but want to know what else is out there that everyone has had luck with.  Thank you! 

I originally billing our telemed visits to Medicare with POS 02 and the GT modifier; they paid, but at a reduced rate.  I contacted Medicare and was told that the claims need to be filed with POS 11 and a 95 modifier, so I did re-openings on all of them.  When they reprocess the payment is the same as it was.  

Is anyone else having this issue or know of a different way to submit to the payment equals in-office reimbursement rates? 

Hello everyone,

Just wanted to give you a heads up, we have received the following notice from DHS of eligibility downtimes that will be coming up.  

Take care and stay healthy!

Real Time Eligibility X12 users,

On Sunday May 3, 2020 our system will be un-available from 7:00 a.m. to 9:00 a.m., CDT due to system maintenance.

Real Time Eligibility ongoing maintenance schedule windows below:

Scheduled mainframe maintenance that may impact Eligibility 270 Inquiries below are approx. as times may vary depending on task or if complications arise.

• Weekdays 1:00-1:20 a.m.

• Weekdays 11:00-11:20 a.m. (These times may vary on State Holidays)

• Monday 2:00-2:10 a.m.

• Saturday 1:00 – 1:10 a.m.

• Sunday 6:00 a.m. – 12:00 noon Our Operations team may perform server restart/updates during this scheduled window

• Sunday 8:00 p.m. -1:00 a.m. scheduled maintenance window: Real Time 270 X12 Application interruptions reserved for system maintenance. Normal impact for Eligibility to be brought back up is around 08:10 p.m. In addition, there may be several momentary outages between 08:00 p.m. Until 01:00 a.m. Monday.