We are looking for clarification on understanding of time/minutes for the 90833, 90836 and 90838.  Per the CPT code book a 90833 is 30 minutes of psychotherapy with patient when preformed with and E/M service.  We took a few trainings a few years back when the 90853 med management and 90805 med manage w/ psychotherapy codes were removed and were informed that we could bill a 90833 for any psychotherapy provided outside of the E/M time for time spent between 16-37 minutes. i.e Prescriber did 99213 E/M services then provided 18 minutes of psychotherapy so they would bill the add on code of 90833 in addition.  What time/minutes do you associate with the add on psychotherapy codes?  We understand that no one can advise on what to bill just want clarification on the minutes or span of minutes for each code. 

Does anyone else bill BCBS for substance abuse? We are constantly getting rejections by BCBS, and the status is always vague:

Error Message:         Category: Acknowledgement/Rejected for Missing Information  The C
laim/Encounter is missing information specified in the Status details and has been rejec
ted Status: Information submitted inconsistent with billing guidelines. Note: At least o
ne other status code is required to identify the inconsistent information.

This happens to probably 75% of the claims I bill out, and I can't seem to pinpoint why...

For two days now, my team has been trying to resend claims (from an invoice/claims tab) and all we get is a blank white box.  Is this feature currently broken?  

Has anyone had the same client require two separate calendar appointments in the same day? If so, how where you able to document both sessions as separate appointments?

Has anyone tried or been successful with uploading video clips to clinical charting?

All claims being sent to MN MA (DHS) are coming back unacknowledged with a status of "No Response" in the Electronic Module. We are working to get in touch with DHS for more information and to find a resolution.

Please watch this post for updates. Thank you!

We have received the following notice from DHS:

All functions of MN–ITS will be unavailable from Saturday, August 5 at 6 a.m. until Monday, August 7 at 6 a.m.  while we do system maintenance. During this time all of MN–ITS will be unavailable, including:
•  All Direct Data Entry (DDE) transactions
•  All applications and systems that require users to log in to MN–ITS
•  All eligibility verification transactions, including phone verification
•  The MPSMISC file will not be available for uploads or downloads Batch transaction processing – All batch transactions will be unavailable, including secure FTP servers. You will not be able to submit any files during this time. (Pub. 7/22/17)

What does this mean for you?

Eligibility through Procentive will be unavailable during this time. This may also cause claims sent to MN MA (DHS) to fail.  All DHS systems (e.g. MN-ITS) will also be unavailable during this time.

We ask that you please wait to send claims to MN MA until their system is restored on Monday, August 7 at 6 AM. 

Please contact the Procentive Support Desk with any questions. Thank you!

Medica and MHCP are no longer accepting the GY modifier, they state that they have to have the primary EOB, but we can't send claims to Medicare if the provider is not in network, meaning we can't send the EOB. Ideas, thoughts?

Both 99355 and 90840 are for each additional 30 minutes. For a 2 hour crisis you would bill

90839-90840-90840. How do you bill the same code on the same day? Or do you set the code up as 30 min = 1 unit?

Is there a way to get COB information to flow over for manually entered claims instead of going into the COB tab and entering them yourself. This is the first billing system I have used that required it to be manually entered like this even with hand entering the payment.