We provide Chemical Dependency & Mental Health for levels of care of PHP, & IOP.  We have been having issues with BCBS ND Medicaid Expansion paying on our claims, only to come back now and take the money back from us.  When I called to ask why they took the money back from us, they keep telling me its because of an invalid Type of Bill and Status.   They keep telling me that its coming through as 1-Admit to Discharge, so to look at AMA Correct Coding Guidelines and resubmit once we figured out how it should be billed.   That's where I am lost. 

We bill using UB04 claims for most of these services.  In the admissions tab we use with a 13-Hospital Outpatient and put in the client's Admit Date & Time and put the Status as 30-Still Patient.  We file this these options with all of our claims.  Once the client discharges, then we will go in and put the Date & Time and then change the Status to the appropriate Discharge status.  

Any ideas as to what they are meaning with 1-Admit to Discharge and what it is we may need to change in Procentive to get our claims to go through properly.  We have billing the above way for over 10 years now and have never had this type of issue before and so far it is only with BCBS ND Medicaid Expansion claims and so far only on just random dates of service have they taken their money back from us on. 

Any help is greatly appreciated!

Hello

Does anyone know if there is a report that will show all active clients' last visit date, in order to discharge them?

Is there a notification that goes out when servers will be taken down or are down.  I am trying to finish up some billings this Thursday evening and when trying to sign in get message this server is down, click here for different server.   I receive the same message the server is down with each attempt of click for a server.   

Does anyone else have issues with viewing records? We have a front desk worker who is not able to see any records, to fulfill records requests coming in (part of the front desk job)...  

I started out as a front desk worker and am now in billing, but this new worker can never see records on a client's dashboard or anywhere (if it is before a certain point). I was always able to see EVERYONE's info to fulfill requests (when I was in the same role). 

Any thoughts or solutions?

Hello,

Are other users continuing to experience periods of slow response with Procentive?  We are having a slow morning.  We had a few days last week with periods of slow responses.  Thanks!

Hello! Curious if others are using Theralink and how are you liking it? 

Jenna 

Does anyone know if you are able to export a billed invoice to Excel in order to edit?

Thanks!

Procentive is completely down for us and multiple locations so it can't be internet access.

seeing some slowness and lagging loading times.

Hello, are there any organizations that are currently billing the codes S0280 and S0281 for behavorial health homes. We are wondering how these get billed out of Procentive? Do you just create an individual session once a month to bill this or do you bill off of a residential calendar? Any other pointers you can give us?