MA pay to provider denials
Has anyone had any issues with MA and their billing location NPI dropping off claims and then MA denying? the NPI for the specific service provider locations seem to be dropping off the claims, resulting in multiple denials that we are manually fixing in MN-its.
Any feedback would be helpful. Thank you
We have put a ticket, but just aren't having any luck. Also have tired calling the state and there is no internal issues on their end.
BCBS MN telehealth claims
Has anyone else been having trouble with BCBS MN telehealth claims? I'm having trouble billing our outpatient CD groups for telehealth. I'm billing H2035 HQ with rev codes 0944 or 0945, no modifier and POS 02. I've also tried billing with a modifier of 95. I continue to get rejections with the following message: "Error Message: Category: Acknowledgement/Rejected for relational field in error. Status: Claim submitted to incorrect payer Entity: Billing Provider"
I'm unsure what to do or what to change as my Blue Plus claims are going through correctly at this point for the same provider and codes.
Psycotherapy Notes
Does anyone store psycotherapy notes (therapist's personal notes) anywhere on Procentive? Looking for a work around for our therapists that take brief notes to reference in future sessions, but need to keep them secure while working remotely--and separate from the official medical file.
GY modifier order
When billing with a GY modifier, is there an order in which the GY needs to be listed in when billing multiple modifiers?
Associate Billing Code to Specific Programs
Does anyone know if I can/how I can associate a billing code for a specific program within Procentive? For example, when our LADCs create a service line, I only want them to be able to see the billing codes specific to 245G, not codes for our residential and mental health clinic programs.
I tried figuring this out on my own, but have not been able to find something that may work for what I need.
Thanks
Setting Default Accounting Payment Terms on statements
Does anyone know if there's a setting in Procentive to set payment terms when generating statements? When generating statements from report 3560 I know I'm able to add information in the Instructions field, but the data I enter here does not appear on all of the generated statements. It's inconsistent and appears random, almost as if this is a bug in the report.
Thanks in advance for the help or advice.
What will services look like in the future
Just wanted to reach out to fellow providers to see if your agency has begun looking at what therapeutic services will look like once we are back in the office. Are you making changes to the office? Have state agencies released any "requirements" of what we will need to do in our offices post COVID 19?
Thanks!
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