We are new to billing Rule 31 (COD) claims and billing codes H2035 HQ HH and H2035 HH and some of the payers say they require a revenue code of 905 with those codes. I understand rev codes are billed on institutional claims and we currently only bill professional claims, since we are an outpatient clinic. Our clinic directors say we should not bill Institutional claims, since we are not a facility or a residential treatment center. Procentive has told us that some payers require this but it's  hard to wrap our mind around billing a totally different way. We have not worked with the admission field yet and know this is part of institutional claims. Basically, just wondering if anyone else has experience with this? Please help. THank you!

We have been noticing that since the beginning of the year we have been getting paid less than half of what our usual contracted rate is for residential substance abuse treatment. Has anyone else been experiencing this? Do you know if there is new contracted rates?

We have been made aware that all claims submitted to the Availity Clearinghouse as of yesterday (5/22/18) are still in "Sent" status and do not have a 999 file.

This is currently being researched by our Engineering Team and with Availity directly.

More information will be posted to this Known Issue, as it becomes available.

HI all,

I am hoping for some guidance on workflow definitions module set-up for Clients that have not had a service in the past 60 days.  Our clinicians would like to be notified when a client reaches 60 days with no service so they can complete the "Discharge".  We have tried running report 3140 "Inactive Clients" but would prefer an automated notice to clinicians.  Some of our clients are enrolled in multiple programs or have multiple staff associated with the client.  We typically have the outpatient MH program and outpatient MH staff person as primary.  Clients that are enrolled in School LInked Mental Health (SLMH) are listed as Primary (if no outpatient MH program/staff) or Non-Primary (if the client has a primary outpatient MH program/staff).  Has anyone set-up workfows with multiple rules or do you just separate this into 2 workflows based on program?  Any help or ideas/suggestions is greatly appreciated!

Workflow Type: Client Workflow

Workflow Rule: No service in the past 60 days

Workflow Trigger: Days without service

Days: 60

Assigned Staff: Primary staff associated with Client or Non-Primary staff associated with Client

For other agencies that are using kiosks to secure client paperwork, I'm curious to know what your experience has been.  Today our kiosk sessions were interrupted with a "failed to save" message where the client could not do anything further (and their progress was lost).  Just wanting to know if this is only happening in our system or if others are also struggling with this.   (our staff are also being logged out and back to the login screen with no warning or error message)    Thanks

Has anyone had any luck billing UA's/drug screens to BCBS of MN?  We have quite a few clients w/BCBSMN PMAP policies, and we are writing off a lot in drug screens for clients.  Any ideas/codes/experience would be appreciated!

Have any other agencies had the ASQ-3 (Ages and Stages Questionnaire) built in to Procentive? 

Question: I would like to refine the procedure we are currently using to coordinate care with a clients PCP.  How do you communicate with the PCP? and What information are you typically passing onto the PCP?  Thank you in advance for your reply!

We have contacted CMS and their developers are actively working to resolve this issue. In the mean time, please use the Complete Gateway to process payments online. These payments will need to be manually entered in Procentive.

If you do not already have a login for the Complete Gateway (which is separate from the Slyce Gateway) please call CMS support to setup a login. 

The Complete Gateway can be accessed at https://secure.completegateway.com/login

This post will be updated once CMS has resolved the issue.

Thank you!

Is there a way for agency administrators to modify the standard dropdown list for the How client found this firm?  Location in the Clients Module/Misc Tab.  This would help us out quite a bit for reporting purposes to have the same spelling of the referral source versus staff having to type it in.  We end up with many similar referral sources but different spellings.