Eligibility Module
I was wondering for those using the Eligibility Module...do you do batch inquires, if so, how often? Monthly or weekly? Im trying to figure out an efficient way of running eligibility. With the current filter of "primary staff" or "payer" it will just check everyone and I dont want to check those who havent been seen in over 6 months or so. We have 2 Locations and several programs so it gets to be more work to try to filter by these options. Just looking for suggestions. Thanks!
Two providers conducting the same session for a shared client
Is it allowed for two providers who work at my clinic, who have a shared client, to conduct a session TOGETHER at the same time? If yes, what is the best way to bill?
Any success with PrimeWest billing chgs and CD/BH claims?
I've not been able to get a claim through the clearinghouse since the April 14th change to requiring personal NPI's. Our clinicians/supervisors don't have ind NPI's. Does anyone know of a work-around? When I called the PW provider desk they weren't even aware of the change and therefore were no help. Also, just to test it out, I entered our facility NPI w/a facility name and submitted a claim and it was still rejected.
Can a non-licensed provider bill for psychologicla testing under the supervision of a PsyD/LP?
MMSI/SCHA
Is anyone else missing last weeks payment from MMSI/SCHA? We usually receive one every Friday, and did not get one this past Friday.
KNOWN ISSUE: BCBS of MN Claims Sent with H0046 Have Rejections
Yesterday we were made aware of the following Claim Rejection in the Electronic Module which appeared on all claims sent to BCBS of MN (ID SB720) that contain code H0046 (Travel):
Rejected for Missing Information The Claim/Encounter is missing information specified in the Status details and has been rejected Status: Detailed description of service
The rejection was due to a coding update which inadvertently removed the "TRAVEL" narrative that follows code H0046 on claims.
Please resend any claims with this rejection message for code H0046 to resolve this rejection - no changes need to be made.
Thank you!
Suggestions Needed
Hello!
Just wondering what people's feedback is regarding using Ticketing versus Messaging within Procentive. I previously used Ticketing to communicate with staff within Procentive, but some questions have come up about using Messaging as an alternative. Just wondering people's thoughts / preferences.
Also do people use workflow often and do you find it helpful?
Hi everyone!
Thank you all for chiming in on this thread. I thought I would respond just so everyone is aware of exactly how ticketing, chat, and messaging work.
Ticketing is the primary way for you to communicate with Procentive. There are Procentive "Champions" at your agency that have been designated to have the permission to send a ticket to us. You can create a ticket and ask a champion at your agency to upgrade the ticket to Procentive if they are also unable to answer your question.
Chat is a really great feature too and is available from 9am - 3pm each day as was stated above. This feature is also given to key Champions at each agency.
The messaging module is used to communicate internally with other staff at your agency, and we have an add on service that allows you to send direct messages via a secured email address to other providers. Messaging is not a way that we at Procentive communicate with our clients.
If you are curious what your agency's permissions are or aren't sure if you have chat available for your agency, feel free to send us a ticket and we can get that answered for you.
Have a great day everyone!
ProCare Team
Billing 99354 w/Modifier?
I know that a 99354 mus be billed in conjunction with a 90837, but has anyone had success in receiving payment from a Health Partners county program using this combination?. The denial code suggested using a modifier?
Customer support service by UserEcho
