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Optum - Adoption of CASII Clinical Criteria - Effective January 31, 2020

Paula il y a 6 ans dans User Group Help mis à jour par maryjom il y a 6 ans 2

Hello - Does anyone know where Optum would like for us to submit the data on the information that we collect on the CASII's? This is effective today, January 31st. according to the September 2019 Newsletter and  it applies to most commercial and Medicaid programs.  Optum Provider relations do not have any information.  I have a message into my Optum Network Manager.  Does anyone else know anything?

Please Advise

Thank you

Paula

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waitlist

Heather Wadie il y a 6 ans dans Appointments Module 0

Is anyone else having issues with waitlist.

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Can a fully licensed and credentialed provider have a Billing Supervisor?

Stephanie B il y a 6 ans dans Billing/Electronic Modules mis à jour par ahuseby il y a 6 ans 1

We have a fully licensed LMFT who is credentialed with Medica...but has a client that has a Medica Medicare-provider-only plan. I want to bill with a Medicare provider as Billing Supervisor on these claims. 

The claims dept rep suggested this to us as a work-around but wanted to more research to make sure this is ok. 

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System and Faxing Issues?

Heather Wadie il y a 6 ans dans Procentive News mis à jour par sarah il y a 6 ans 6

We have been having some issues with Procentive today.  I'm not sure if it is our wonderful internet connect or if Procentive is having problems.  We have been getting crazy errors when faxing things and our system is freezing up on us.  Anyone else having problems?  I tried to do a chat, but it just sits there.  No response.

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Is anyone having problems with the appointment module when sorting by location?

Shondell il y a 6 ans dans Appointments Module mis à jour par Amanda Kaufmann il y a 6 ans 7

We can bring up a single provider, but when we try to do all providers at a location we get nothing but a white screen. Everything worked just fine yesterday.

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Medicare Claim Rejections

sfoster il y a 6 ans dans Billing/Electronic Modules 0

FYI, I recently had some NGS/Medicare claims reject in the Electronic Module. In case anyone else has run into this, it's because as of 1/1/2020 NGS/Medicare will reject any claim using the old member ID #'s (social security #). 

Thanks, Sara

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Cyber Notice: Emergency Directive to Mitigate Windows Vulnerabilities

Alicia Swanson il y a 6 ans dans Industry News/Discussion 0

Health Care is always a highest target, please highly consider this message from the Federal HHS Office of Civil Rights. Patches will be required as it is currently a big vulnerability and we want you all to be protected.  Here is the information we are passing on to you:

January 15, 2020

Cyber Notice: Emergency Directive to Mitigate Windows Vulnerabilities

OCR is sharing the following update from the HHS Critical Infrastructure Protection Public-Private Partnership

Healthcare and Public Health Sector

Emergency Directive to Mitigate Windows Vulnerabilities

Update #1

January 14, 2020

This email has been prepared by the HHS ASPR Division of Critical Infrastructure Protection (CIP).

If you observe or experience any impacts to critical infrastructure due to the incident, or have a request for information, please email us at CIP@hhs.gov

The purpose of this bulletin is to notify you of a number vulnerabilities identified in Microsoft Windows operating systems which if not addressed, pose significant threat to the environment. On January 14, 2020, Microsoft released a software patch to mitigate these vulnerabilities in supported Windows operating systems. Subsequently, The Cybersecurity and Infrastructure Security Agency (CISA) released an Emergency Directive and Activity Alert addressing critical vulnerabilities affecting Windows CryptoAPI and Windows Remote Desktop Protocol (RDP) server and client. Some of the vulnerabilities could enable a remote attacker to decrypt, modify, or inject data on user connections DHS has determined that these vulnerabilities pose an unacceptable risk to the Federal enterprise and as a result has issued an emergency directives to all Federal agencies to patch their environment immediately. Due to the seriousness of these vulnerabilities, ASPR CIP strongly recommends that all HPH entities also consider patching their environment as soon as possible. This recommendation is based on the likelihood of the vulnerabilities being weaponized, combined with the widespread use of the affected software across the sector and high potential for a compromise of integrity and confidentiality of information.

Upcoming CISA Call and Additional Resources


The Cybersecurity and Infrastructure Security Agency (CISA) has scheduled a call for Wednesday 1/15 at 2:15 PM ET. This call is targeted at Chief Information Officers/Chief Information Security Officers. Sector Coordinating Councils/Information Sharing Analysis Centers etc.

Additionally, the following resources can be used for more information:


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Problems with Appointments Module

Shondell il y a 6 ans dans Appointments Module mis à jour par Amanda Kaufmann il y a 6 ans 3

We have been having problems for 3 days with the appointment module.  When you schedule an appointment it does not show up.  You have to go out of Procentive and come back in for it to refresh.  Anyone else having this issue?

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How do you keep track of cases that do not successfully open?

Rochelle Garcia il y a 6 ans dans Clients Module 0

Im curious to know how other agencies keep track of clients who never open for services, specifically CTSS or TCM. What module/reports do you use to compile this data and if so, do you keep track of the reason the case never opened. Thanks!

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Codes 96130 and 96131 Psychological and Neuro-psychological testing Evaluation

Kim N il y a 6 ans dans User Group Help 0

Its been a few years since I have billed Testing codes, hoping someone can help me out....

Can these be billed on the same date of service as the DA?

What Clinical Documentation forms are you using to document the use of these codes.