I received notification that codes H0031 & H0032 will only be able to be billed as 1 unit and must have the modifier "UD" removed as of 01/01/2019.  MHCP posted a bulletin about these changes:

"The Centers for Medicare & Medicaid Services (CMS) has established a Medically Unlikely Edits (MUEs) of one unit for HCPC codes H0031 (mental health assessment by non-physician) and H0032 (mental health service plan development by non-physician) beginning Jan. 1, 2019. MUEs prevent payment for an inappropriate quantity of the same service on a single day. Currently, more than one unit is allowed for each of these codes when the UD modifier is included. The UD modifier will no longer be required and only one unit of each of these services will be allowed per day for Managed Care Organizations (MCOs) and fee-for-service claims beginning Jan. 1, 2019. Minnesota Health Care Programs (MHCP) will deny a claim line that includes more than one unit. MHCP will determine a per-session rate for H0031 and H0032 and will reprocess paid claims with dates of service beginning Jan. 1, 2019, once a new rate is established. (pub. 12/28/18, rev. 1/8/19)"

Since our claims are currently being denied, I contacted MN-ITS provider help desk to inquire about this.  Essentially they have no answer as to when the rate for 1 unit will be decided, or what that rate will be.

Has anyone come up with a decent conclusion how to bill for these properly?  Provider help desk did say they will automatically resubmit all claims that contain 1 unit.

Thanks in advance

Just wanted to say thank you on the great job done with adding the ability to add descriptions and archive documents in the payers tab!  The new features there have been more useful than I anticipated.

Thanks again!

One of our facilities has been relicensed with 24hr Customized Living, and part of the requirement is for all clients to have a summoning device on them, in the event they need staff assistance due to a fall, health issues, etc.  Does anyone have any recommendations on a call/summoning system that is reliable?

I'm finding some options that are either extremely expensive or cheap and appear to not be very durable/reliable.  If anyone has any input, we would greatly appreciate it.

Thanks!

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Is anyone else experiencing when entering information into Procentive it is not saving?

We have billing cycles we re-use each year. Is there a better way to clear old data besides going into each child's billing box to delete them?

Hello,

Since the new year all of our claims have come back denied for contractual obligation (code 45). Even on clients that we did not have trouble with previously, we are now having issues with claims coming back this way. Mostly seeing this for code H2014 which is not covered, but we are not getting a denial that we can send to secondary.

I am wondering if there was an update or something that we missed and we are sending our claims to the wrong place? Has anyone heard anything?

If it matters, we preform outpatient mental health services in Minnesota.

We have had a nightmare of a time dealing with United Healthcare and the Optum side. Being one is behavioral health and the other is the actual insurance plan, you would think they communicate with each other.

Thanks in advance!

Good Afternoon everyone! I've been getting the run around, so I'm hoping someone has some advice.

I bill for a mental health facility in Minnesota. While looking online at our MN DHS website, I found a few different documents staying there are no copays for mental health visits. 

I contacted the state, and the rep I talked with said that we are supposed to write off copays and deductibles for patients with MA or a PMAP. Spend downs not included. 

This has put a lot of discussion into our office lately. 

Has anyone heard of this? These patients' claims are being sent and coming back with a Patient Responsiblility, so I would assume that if they had no copay, they wouldn't use a PR reasoning code.

Any info is appreciated! 

Thank you!

Loving the new option of looking at Report Mode in new window while payment entry mode is still up !!!!