Is anyone else finding staff replying to their tickets in the "Description" area and not on the right-hand side using the comments? This is not a good thing for billing staff, if clinical staff are able to edit what the ticket originally said when it was sent. Is anybody else noticing this? I did send a ticket to Procentive but my rep is off this week, so thought I'd check here.

I did check to see if there was something in the User Role that allowed it, but don't see anything.

Thank you!

Questions for billing Interpreter services to a p-map for CD services: 

Do we enter one individual session for the whole day the interpreter was here?

Who do we use for staff? 

Thank you for any help you can offer.

Has anyone had any success with billing Veterans Affairs for SUD residential services or SUD outpatient services through Procentive or through their portal? We are getting rejections from the clearinghouse for services billed through Procentive and denials about dates overlapping in their portal which doesn't make sense.

I'm trying to set up alerts in Workflow to send reminders 15 days prior to the expiration date. I've looked at Workflow definitions and I *believe* I set up an alert but I'm not sure if it will be activated correctly. Thoughts?

As of January 1, 2021, Medica IFB will have a new Payer ID (87726) . You will need to submit all claims for dates of service (DOS) on or after 1/1/2021 to this new Payer ID.

Please visit our Live Updates page for information regarding this upcoming change.

Has anyone heard if the payers are extending the Covid - 19 Telehealth waivers that are due to expire at the end of the year? 

Thanks

Does anyone know why some PMAPs pay different rates from MA for the same service/provider? 

It seems like they should be the same since the PMAPs follow MA guidelines. 

Thanks!

Question about the functionality of the Diagnosis tab as it relates to Inpatient (Residential calendar) billing.  The Diagnosis tab on the Change Client window has the capacity to record detailed, extensive patient diagnosis history, but when it comes to billing inpatient/residential claims through the residential calendar in the time module, all the distinctions from that tab are lost - it seems the full history is pulled in to the claim, regardless of program, date, or status.  Is there a way to use the full capacity of this tab and not have most/all (including duplicates) pull into the claim?

We received information from Availity stating there may have been an issue with some ERAs from Anthem recently,

Please go to our Live Updates page for more information.

Thank you!