Hello,

Was anyone else effected by the 1002 Room and board value code/CPT code change? 

We bill out for enhanced rate for both medical and w/ child  OR 1002 w/ Medical and they did not give a value code for those option/ combinations. Only on the 1003 code. 

That state has not contacted me back yet and this is a significant amount of money ! Curious if any one has heard back / had the issue as well. 

Hello all, 

I am wondering if anyone has sent their staff to a 30 hour training on billing T1016 for 245G? If so where? We are having a hard time finding a training for this. 

Also has anyone started to bill for this in your CD programs?

thank you ! 

Are there other organizations that use accrual accounting instead of the cost accounting that Procentive works in? How have you been successful in converting this in your accounting processes?

Can you direct me to best practices for invoicing and month end close?  

We are experiencing a clinic wide issue and it seems to be isolated to afternoon and evening times (3pm-9pm) when staff are intermittently having issues when working in the clinical charting module either typing in notes or just doing a search for clients records in the clinical charting module.  When typing in notes the providers are getting the error that your data can't save you lost connection, and when searching for client records in the clinical charting module receive the error you don't have permissions to view this information.  They can log out of Procentive and log right back in and everything works just fine.  We are wondering if any other organizations are experiencing these types of issues?  It doesn't appear to be our internet connection as we can go to other websites when this happens and those sites are working just fine.  It is only happening in Procentive.  

Hello,

We are continually having problems with getting paid by Federal BCBS plans for residential treatment with room & board. Do any of you providers bill this payer and what codes are you using?

Hello,

I have updated primary payer from Medicare to HealthPartners PMAP.

I did the wrong payer adjustment in payments module and used drop down to queue claims to HealthPartners PMAP.

# 1 the queued claims are now showing in the billing module

# 2 claims show 0 balance

I'm new to procentive so any help would be great. I need to get these claims billed out to HealthPartners.

Thank you

Does anyone know what payer should be primary in the example below:

Client has commercial BCBS which termed 6/30/19 and subscriber/policy holder is husband. Same client gets new insurance HP effective 6/1/19 and husband is also policy holder for this insurance. 

This means for the month of June, there are 2 active payers, BCBS and HP. This likely happened due to a job change and the previous job with plan under BCBS let the coverage be active through the end of the month of June. New job with plan under HP started June 1.  

I'm thinking BCBS would be primary for June based on that fact that they have had that insurance longer (was effective before HP). I have not asked the client and assume that they would not know as most clients don't understand which plan should be primary or secondary. I've seen this dual coverage (with same policy holder) likely due to new jobs a few times and assume we need to bill BOTH payers while the 2 plans are active. It's just hard to know which should be primary.  Any thoughts or resources?  Thank you in advance.

We bill R25-CCDTF as secondary for qualifying clients. I have noticed that I am updating the COB and it leaves our clearing house correctly but in MNITS and on our ERA from MN DHS they are paying the full (original) rate...

Currently I go out and update the rates in MNITS via a replacement claim. I have a call in to them but wanted to see if anyone else has come across this???

How do others flag their Bad Debt accounts so that their admin schedulers know to collect the money before making an appointment.  We are seeing that our schedulers aren't seeing this because the pop alert comes after the appointment is made.  Is there a way to have a flashing color on those clients.  If anyone has any insite on how to catch these I'd appreciate it.