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Billing CCDTF (Rule 25) as a Secondary Payer

Jeremy Roelofs-Lynch 6 aastat tagasi Payments/ERA Modules uuendatud 6 aastat tagasi 4

We bill R25-CCDTF as secondary for qualifying clients. I have noticed that I am updating the COB and it leaves our clearing house correctly but in MNITS and on our ERA from MN DHS they are paying the full (original) rate...

Currently I go out and update the rates in MNITS via a replacement claim. I have a call in to them but wanted to see if anyone else has come across this???

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Bad debt accounts

KELLY PERFETTI 6 aastat tagasi Accounting/Collections Modules uuendaja Shondell 6 aastat tagasi 17

How do others flag their Bad Debt accounts so that their admin schedulers know to collect the money before making an appointment.  We are seeing that our schedulers aren't seeing this because the pop alert comes after the appointment is made.  Is there a way to have a flashing color on those clients.  If anyone has any insite on how to catch these I'd appreciate it.

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SDQ and CASII Documentation

Paula 6 aastat tagasi Industry News/Discussion uuendaja sfoster 6 aastat tagasi 10

Hi

Question:Are SDQ and CASII's still required?  I never see any communication with DHS, once we submit. Are you completing for only MA clients or all PMAP clients? 

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Has anyone used the resource Supercoder (https://www.supercoder.com)? If so, what are your thoughts?

crystalp 6 aastat tagasi Billing/Electronic Modules uuendaja Valerie1 6 aastat tagasi 1

Would you recommend this resource for learning about new possible codes to bill, code stacking, NCCI edits, etc?

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Blue Plus of MN reimbursements

KELLY PERFETTI 6 aastat tagasi Payments/ERA Modules 0

Is anyone getting reimbursed the full amount billed for 90837?

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Does anyone place a client on "hold" when on furlough or LOA

Jenna 6 aastat tagasi Billing/Electronic Modules uuendatud 6 aastat tagasi 2

Hello,

We are wondering if anyone ever puts their clients on  "hold "some how to prevent for error billing when client is on furlough. 

TIA!

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Multiple PMI numbers

Rochelle Garcia 6 aastat tagasi Industry News/Discussion uuendaja Shauna Dall 6 aastat tagasi 5

I was just wondering if anyone knows of another site other than MNITS to check insurance eligibility (besides individual PMAP sites).  Im finding that many clients have multiple PMI numbers and unfortunately on MNITS you will just get the response:

  • Invalid/Missing Subscriber/Insured ID.
    Please Correct and Resubmit."

When I've called DHS before one person explained that this error may mean there is more than one PMI and the next time I called I was told they were not supposed to give us this information.  Most of our client's are in home clients and its difficult to get a hold of parents to get any insurance information from them. How does this corrected? I've sent claims to Hennepin County and they have been returned as having an active PMI but again I dont have this new information so how can providers know this.  

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MN DAANES Report (5055)

Jessica M 6 aastat tagasi Reporting Module 0

I have noticed a major lag time when running the Minnesota DAANES report. Anyone else having the same issue?

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Professional Liability Insurance

Leah T. 6 aastat tagasi Industry News/Discussion 0

Reaching out to see if anyone is willing to share what company (not agent or agency) they have professional liability insurance through.