Apps that work with procentive
We are new users and are wondering if there are any apps we can use to utilize our Iphones to be used in lieu of an electronic signature pad
Multiple service locations and a Central billing location
I received a letter, this week, from DHS stating that they have not received any claims, for the past 12 months, for one of my locations, so they are terminating the enrollment for that location. I bill weekly to DHS for this location. After lengthy phone calls and wait times, DHS is suggesting that the Procentive Billing Provider Loop 2010AA, Segment NMI, N3 and N4 need to be listed as the location of service and not our Central Billing location address... has anyone else received one of these letters and if so, what did you do about it?
substance abuse disorder
I was wondering if any providers have ran into issues with billing when the diagnosis of a substance abuse disorder was listed. I know it cannot be listed as a primary diagnosis. I would think as long as it is not a primary diagnosis, it shouldn't impact reimbursement.
Has anyone ran into issues with this?
"This page isn't working" error
All morning, I have gotten "This page isn't working" error on all the modules I enter. I have shut down, cleared cookies, cleaned my history, etc. and nothing is helping. I'm trying to work, and get so far, and then it errors me out again. I only have 2 tabs up right now, so I'm not going overboard with information like other days. Any way to avoid this message so I can get some work done today? I'm using Google Chrome browser
DBT claims with Straight MA denying CO 8
Has anyone else recently (in the last month or 2) received denials for DBT services (H2019 U1 and H2019 U1 HQ) from straight MA with denial reason CO 8? We called a month ago and got case #'s bc they didn't know the issue. Called today and they was still not un update on the cases we gave them but the rep I talked to mentioned 'they' recently termed DBT certifications for providers and didn't let any providers or 'us' (I think she means the call center reps) know. She said they have been getting a lot of calls bc of this. One denied claim she checked for us, she said it shows the provider DBT certification termed 10/14/14, which we know it really has not termed. Rep stated they want providers to resend in their DBT certifications again.
UCare Claims issues
Has anyone been having issues with UCare claims for outpatient substance use disorder? We have been struggling with this issue since Oct. 2016 and UCare doesn't have any answers for us for this main reason: claims continue to reject and don't even reach UCare. I've tried sending claims on both UB04 and CMS 1500 forms, I've changed the "Facility" under the client's Admissions tab from "13" to "89", and I've made sure to include both taxonomy codes (even though the first claims were sent before this was a requirement in March 2017)...I'm feeling at a loss of what to do now as we didn't have these issues prior to Oct. 2016. We don't encounter UCare much, but now I have two more clients with UCare who are starting services. Any advice?
P.S. The following is the error/rejection message I get from Procentive in the X12 Claim Data:
Message Text:Category: Acknowledgement/Returned as unprocessable claim The Claim/Encounter has been rejected and has not been entered into the adjudication system Status: Processed according to contract provisions (Contract refers to provision that exist between the Health Plan and a Provider of Health Care Services)
KNOWN ISSUE: MN MA Eligibility is Down
Good Morning!
We have received notice from DHS that there is a "time out" error occurring with eligibility as of 9:45 AM CDT. This is currently being worked on by the DHS Operations Team but there is no ETA at this time.
Please check back here for updates - we will post again when DHS has this resolved.
Thank you!
KNOWN ISSUE: Medicare Part B Claims Didn't Cross Over
NGS Medicare has sent an email to all subscribed providers. For your convenience, this notice is below:
What Happened:
National Government Services (NGS) is informing Part B providers of an issue involving claims that did not successfully crossover to the supplemental carrier. Provider remittance advice (RA) indicated in error that claims had automatically crossed over to the supplemental insurance carrier. Letters were later issued advising that claims could not be sent to the supplemental carrier due to the reported ICD-10 diagnosis code being truncated.
The codes are not truncated at this current date of service.
Why It Happened:
The issue occurred because the Benefits Coordination & Recovery Center (BCRC) edit validator may have installed “higher level of specificity” ICD-10 diagnosis codes a few weeks before 10/1/2017. The BCRC consolidates the activities that support the collection, management and reporting of other insurance coverage for Medicare beneficiaries. The purpose of the coordination of benefits (COB) program is to identify the health benefits available to a Medicare beneficiary and to coordinate the payment process to prevent mistaken Medicare payments. The BCRC coordinates with the Medicare Administrative Contractors (MACs) in crossing claims over to the supplemental insurers.
What This Means to You:
If you received one of these letters advising you the claim was not crossed over to the supplemental insurer, you will need to submit the claim directly to the secondary insurer. With the 2018 ICD-10 upgrade, the new diagnosis codes will go into effect on date of service 10/1/2017. Please be aware the changes to ICD-10 that may affect your practice.
If you would like to receive emails from NGS Medicare, please visit their website. After logging in or continuing as a guest, please click the "Subscribe to Email Updates" link on the top right (under the search box).
KNOWN ISSUE: MN MA Eligibility Errors
For consolidated providers MN MA (DHS) has ongoing problems with eligibility, which is causing some consolidated providers to be unable to check eligibility (except through IVR). The details from DHS are as follows:
Some MN–ITS transactions involving consolidated providers are experiencing issues, including: Eligibility Request (270), Authorization Request (278) and Service Agreement Request (278).
Consolidated providers who need to check eligibility or check the status of an authorization request or service agreement may call the Provider Call Center at 651-431-2700 or 800-366-5411.
We have confirmed with DHS that this does apply to batch eligibility which how eligibility is checked through Procentive. If you wish to monitor the progress of this, you can find it on the MHCP Provider News and Updates page.
Once we know this has been fully resolved we will update this post.
Have a fantastic weekend!
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