We are not Medicare enrolled practice-wide.  Most of our practitioners are LMFT, which Medicare does not cover any way.  We don't seem to get a straight answer from private (commercial) insurance about whether we can bill with the GY modifier or some other method to bypass Medicare and bill them.  Any help????

Has anyone had any luck finding the Medicare and MN Medicaid Fee Schedule for the new codes 96130, 96131, 96136, 96137, 96138 or 96139?

Is anyone getting this error when sending forms to clients via kiosk?

We have had several in the last week or 2

From all of us here at Procentive and BillCare, we would like to wish our customers a very Merry Christmas, and Happy Holiday's as we move in to the New Year. We appreciate and enjoy the opportunity to serve each of you. 

Please enjoy a holiday greeting from us to you. 

Does anyone have any input on codes; 99050 or 99051? These are "after hours" billing codes, from what I understand. 

Thanks, Sara

Can anyone share their experience?  We are experiencing longer-than-ever wait times to get staff credentialed - in one situation we have a therapist with a simple change in location (joining our agency) that is at 17 weeks of waiting.....

KNOWN ISSUE:

Some claims submitted to SCHA Payer ID 81600 and MMSI Payer ID 41154 through Claim Lynx are returning with an Error Status since 12/04/2018.

Claim Lynx has informed Procentive that this is an error with the Payers.  They are evaluating this issue and working towards a fix by end of day 12/07/2018.

According to Claim Lynx if you have received the status of error, you do not have to resend your claims.  The claims have been received by Claim Lynx and will be processed by the payer once this issue is resolved.

If you have further questions please contact Procentive Customer Care via ticket.

I have inherited a problem with BCBS commercial plans when billing 1002 and H2036 HA, HH. We bill multiple units for each and on a invoice I have noticed that they are reimbursing as for the Room and Board however they are NOT reimbursing us correctly for treatment services.  When I called BCBS they stated this was because of a date range issue however I have been told by Procentive that is not accurate and that I need to remove the HCPCS code from the claim.  

Does this sound familiar to anyone? what do you do to get your claims paid?  I have noticed that we have been taking LARGE adjustments on H2036 and would greatly appreciate hearing what worked for you to get your claims paid.