Couples form
Does anyone have a couples intake, DA and Treatment plan along with progress note they want to share or are willing to share ?
Can you bill w/ authorization to CCTDF funding if client has medicare primary?
We are not a medicare facility. We are wondering if anyone has successfully billed out CCDTF funding from the county when given service authorization if a patient has medicare primary? The counties are saying it "overrides" if they are giving a service authorization but we are getting a kick back due to other payer.
Adding an HN modifier, BCBS (for medicaid clients) is incorrectly paying physician's rate of pay
It appears that when I use an HN modifier for BCBS (Amerigroup for medicaid clients) claims are incorrectly paying as if we are a Rule 29 clinic (physician's rate of pay). How do I identify a supervised clinician if I can't use the HN modifier?
Medicare - New Testing Codes
Has anyone been paid for the new testing codes from Medicare? We keep getting a denial that says "no referring provider listed." Thanks in advance for your help.
Procentive Down?
There's nothing on the Live Updates website yet but Procentive is down for my organization
Telemedicine Progress Note
Does anyone have a Procentive Progress Note form that meets criteria for telemedicine?
Here's what MN DHS says is required:
-The type of service provided
• The time the service began and the time the service ended, with a.m. and p.m. designations
• A description of the provider's basis for determining that telemedicine is an appropriate and effective means
for delivering service to the recipient
• The mode of transmission of the telemedicine service
• The location of the originating and the distant site
New testing code fees
We are getting ready to start billing the new testing codes and we are not sure what we should charge for these new codes. Could anybody share their fees or thoughts?
thank you!
T1016
Has anyone been successful in setting up code T1016 in Procentive and getting paid by insurances?
There has been much back and fourth on this thread of what everyone is hearing and expressing frustration. We understand the extremely difficult circumstance you are in and we have been invested in seeking truth with facts on this situation and here is what we have found:
- - We have had several agencies receive an ERA from Blue Plus (00562) although only professional claims at this point in very small dollar amounts. The ERA payer column will read “BLUE PLUS OF MINNESOTA”
- - 1/3rd of those agencies have confirmed (we called them) they had an ACH payment into their bank for the exact amount on the ERA. At the top of the ERA when opened, the Method will read ACH.
- - The agencies who received these EFT/ACH payments DID NOT do anything extra or different with registration, re-processing, etc.
Blue Plus has contracted Amerigroup Health Solutions to process these claims. Amerigroup is required to abide by the terms from Blue Plus which means you DO NOT need to register, or re-process claims. If you had ERAs and/or EFT set up before the change it will continue moving forward- no further action required. Blue Plus is aware some agencies have been told they will get a paper check mailed to them but that was an error and should not continue to happen.
We are continuing to run reports daily to track agencies getting ERAs and hope to see this number continue to rise. We will continue to post updates as we see other improvement.
Change address on statement to rep payee?
Does anyone know of a way to have an alternate mailing address be put on 3560 Statements? We serve numerous clients who have rep payees, and these statements should not be sent to the clients. Without an option to select an alternate address to be printed on these statements, it's rather cumbersome and time consuming trying to remember which clients have rep payees. It also adds quite a bit of time to write/print the correct address on envelopes instead of just using window envelopes designed to accommodate these statements.
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