I'm searching for a billable and payable CPT code for OPMH for a prolonged time with patients. While it may appear that code 99417 is replacing these codes, this code can only be used with certain Evaluation and Management (E&M) codes used by doctors, and cannot be used with psychotherapy codes 90837 or 90847 for extended sessions.Feb 11, 2023

Debbie Trunk

Has anyone else been told that Blue Plus is no longer accepting any HCPCS or Modifiers on SUD residential claims. They said they want ONLY the value 24 code for the intensity and to also send the 1002 room and board code but not the room and board value 24 code on the same claim or they will deny. But I can't get the value 24 code for intensity to send out by itself, Procentive system says to add in a code when I try to add it in the payers module. 

Our Blue Plus rep said to not add the revenue code 0944 or 0945 to the value 24 code for intensity, instead to add that code to the 1002 code but 1002 is a revenue code. And the HCFA example Blue Plus sent shows one and it looks like its connected to the value 24 code? Is any one else dealing with this or gotten it fixed? 

Does anyone bill SUD to UHC? Are you getting payment? We were told that UHC doesn't allow the H2035 code. Our claims are all denying for needing a PA or rendering provider is not eligible to perform the service. When calling UHC to verify coverage, we are told no PA needed.

We provide Chemical Dependency & Mental Health for levels of care of PHP, & IOP.  We have been having issues with BCBS ND Medicaid Expansion paying on our claims, only to come back now and take the money back from us.  When I called to ask why they took the money back from us, they keep telling me its because of an invalid Type of Bill and Status.   They keep telling me that its coming through as 1-Admit to Discharge, so to look at AMA Correct Coding Guidelines and resubmit once we figured out how it should be billed.   That's where I am lost. 

We bill using UB04 claims for most of these services.  In the admissions tab we use with a 13-Hospital Outpatient and put in the client's Admit Date & Time and put the Status as 30-Still Patient.  We file this these options with all of our claims.  Once the client discharges, then we will go in and put the Date & Time and then change the Status to the appropriate Discharge status.  

Any ideas as to what they are meaning with 1-Admit to Discharge and what it is we may need to change in Procentive to get our claims to go through properly.  We have billing the above way for over 10 years now and have never had this type of issue before and so far it is only with BCBS ND Medicaid Expansion claims and so far only on just random dates of service have they taken their money back from us on. 

Any help is greatly appreciated!

Hello

Does anyone know if there is a report that will show all active clients' last visit date, in order to discharge them?

Is there a notification that goes out when servers will be taken down or are down.  I am trying to finish up some billings this Thursday evening and when trying to sign in get message this server is down, click here for different server.   I receive the same message the server is down with each attempt of click for a server.   

Does anyone else have issues with viewing records? We have a front desk worker who is not able to see any records, to fulfill records requests coming in (part of the front desk job)...  

I started out as a front desk worker and am now in billing, but this new worker can never see records on a client's dashboard or anywhere (if it is before a certain point). I was always able to see EVERYONE's info to fulfill requests (when I was in the same role). 

Any thoughts or solutions?

Hello,

Are other users continuing to experience periods of slow response with Procentive?  We are having a slow morning.  We had a few days last week with periods of slow responses.  Thanks!

Hello! Curious if others are using Theralink and how are you liking it? 

Jenna 

Does anyone know if you are able to export a billed invoice to Excel in order to edit?

Thanks!