Has anyone heard of any updates on MA denying claims with the POS 10?  Its been weeks now and we have not received any payment for claims with this place of service.  I checked the Provider Update website but its still the same message from 8/22/2022.

Hello, I just had a couple of claims reject for what appears to be code updates or subdivisions of the code;

F43.8.

• F43.8, "Other reactions to severe stress," is being subdivided into two new codes — one to capture prolonged grief disorder (F43.81) and another to capture the rest of what was otherwise reported under F43.8 (F43.89, “Other reactions to severe stress”).

Has anyone else run into this one?

Thanks, Sara

Help! is anyone else experiencing issues with claims going to BCBS pmap and the date range is only showing  "1" unit?  I opened a ticket on 8/31 and I still have no resolution from Procentive.  

Is anyone using the electronic feature for statements?  I'm wondering how it's working and if there have been any glitches before I switch over. 

Has any SUD providers figured out how to bill with the Value code for Blue plus claims since they want us to stop using the HCPC code/combination effective 5.1.22. They say they do not want to see any HCPC for the TX line they want a value code to be billed. Only 1 value code can be billed on a claim and I am billing with that for the room and board part of the claim. I have asked my Provider contact person with no help.

Also since i turned on the Value code option on my payers BCBS pmap and UCARE the claims deny for use of said Value code. Procentive wont let it out the door. What a mess....

I'm looking for a report that can bring up all clients in a specific program that also shows the clients' Dx codes and the Dx code expiration date. Does anyone know if a report can do this?

Hello,

Currently procentive seems to "force" an attending provider to be noted on our UB04 forms so we chose our Presidents info a while back for this. However, technically under SUD all the LADC's are housed our our facility itself and we are billing a day rate bill out. 

I am wondering how others were able to by pass this requirement on procentive in order to bill  ? 

Thanks!

Has anyone been able to bill for covid testing in a CLIA Waivered lab? We have clients in our Residential and IOP SUD program that we could do testing in our separate Lab and have nurses who could administer. Has anyone had any luck or found it not possible?

Is anyone else seeing delays? We haven't received our payment notifications as well?