Hello,

We are having claims deny using the Value Code 24 (99920) that we were first instructed to use for SUD Room and Board claims back in 2019.  All claims have paid up until now, all are now denying as a non covered charge.  I have spoke with the provider help desk and they do not see the code we are using on the list.  They also said there have been no updates to the list since it came out in 2019.  I do have the code that they are saying we should be using and will be updating our system and I have set up a case with the state to review.  

I wanted to know anyone else is having this same issue?  We were thinking that it may have something to do with direct access starting 10/01/2020,

Thank you!  

We received an alert from the Office of Civil Rights (OCR) that we wanted to share with you:

October 29, 2020

Cyber Alert: Ransomware Activity Targeting the Healthcare and Public Health Sector

The Cybersecurity and Infrastructure Security Agency (CISA), the Federal Bureau of Investigation (FBI), and the U.S. Department of Health and Human Services (HHS) have credible information of an increased and imminent cybercrime threat to U.S. hospitals and healthcare providers.

CISA, FBI, and HHS have released AA20-302A Ransomware Activity Targeting the Healthcare and Public Health Sector that details both the threat and practices that healthcare organizations should continuously engage in to help manage the risk posed by ransomware and other cyber threats. The advisory references the joint CISA MS-ISAC Ransomware Guide that provides a ransomware response checklist that can serve as a ransomware-specific addendum to organization cyber incident response plans.

In addition to these materials regarding the most recent ransomware threat to the Healthcare and Public Health Sector, the HHS Office for Civil Rights’ Fact Sheet: Ransomware and HIPAA provides further information for entities regulated by the HIPAA Rules.

CISA, FBI, and HHS are sharing this information in order to provide a warning to healthcare providers to ensure that they take timely and reasonable precautions to protect their networks from these threats. CISA encourages users and administrators to review CISA’s Ransomware webpage for additional information.

Does anyone else have a Clinical Trainee and use workflow to send documents that need the Clinical Supervisor's signature to them once complete? We have ongoing issues with this working correctly, specifically the Clinical Supervisor that needs to receive the Clinical Trainee's documentation also receives our other Clinical Supervisor's documentation as well. 

Good morning!  Curious to know if other facilities have recently seen UCare denying claims with the CO-197 denial code (authorization) for claims you sent that had the authorization number attached and the auth was valid?  The two facilities I bill for, I've seen this happen with several clients on the past couple of remits, so trying to gauge if this might be a more global issue with them right now.

Looking at EHR- and HIPAA-compliant voice-to-text dictation program or app to assist with writing progress notes, etc.  Thoughts? 

At times, we have clients who return to services with a previously unpaid CCD.  (We don't send past due accounts to collections.)  

In this particular case, the CCD is a result of a termed MA PMAP, after which the clinician continued to provide services. Balance owing is close to $1000. (We were hoping for a retro so didn't suspend services...)

Now the client returns having once again obtained an active MA PMAP plan.

What would you do in this situation? 

Wondering if anyone has ever come up against this.  Client has Part A Medicare, no Part B.  Client was in IOP and Aetna has processed claims as if Medicare is primary and adjusting off most of the charge. Aetna is telling us this is a penalty since the client declined Part B Medicare. I don't see how they can do this. They are penalizing us, not the member.

Thanks

I have tried attaching PDF forms via misc documents, as well as attaching PDF forms to messages sent to clients in the portal, but clients have not been able to open the attachments.  Has anyone else had difficulty with this? Are there certain browsers or other logistics my clients need to access and view the attachments I am sending?

Hello All,

Did you know about the Chat feature integrated with Procentive?  Your agency's Ticket Upgraders can chat real time with our Support Staff.  To learn more, please visit our Live Updates page.

Thank you!

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