From the Center for Connected Health Policy, CMS just released new guidelines for telehealth, including some changes for what I prefer to call telehavioral services. 

The guidelines include,

"Beginning July 1, 2019, the SUPPORT Act will add the enrollee’s home as an eligible originating site and remove the originating site geographic limitation on existing eligible telehealth originating sites (including the home) when treating for a substance use disorder or co-occurring mental health disorder through telehealth." 

So, at least for SUD/co-occurring treatment, things are continuing to evolve. 

We use CMS/Slyce to store / run payments via procentive.  I am wondering, since there is not currently a recurring payment option to set up payment plans or automatic payments on specified dates, if there are any vendors that Procentive works with that would integrate with the system?  For example, if I hire a vendor to do this for us, I don't want to have to enter the data twice - I'd prefer to upload payment info into Procentive somehow so I didn't have to rekey everything twice. 

Please let me know if there is a capability for this, and if so, which vendors can do this.  

It would be so helpful to have a link in the Client Dashboard to be able to add to an existing or create new "Client Note"

I received notification that codes H0031 & H0032 will only be able to be billed as 1 unit and must have the modifier "UD" removed as of 01/01/2019.  MHCP posted a bulletin about these changes:

"The Centers for Medicare & Medicaid Services (CMS) has established a Medically Unlikely Edits (MUEs) of one unit for HCPC codes H0031 (mental health assessment by non-physician) and H0032 (mental health service plan development by non-physician) beginning Jan. 1, 2019. MUEs prevent payment for an inappropriate quantity of the same service on a single day. Currently, more than one unit is allowed for each of these codes when the UD modifier is included. The UD modifier will no longer be required and only one unit of each of these services will be allowed per day for Managed Care Organizations (MCOs) and fee-for-service claims beginning Jan. 1, 2019. Minnesota Health Care Programs (MHCP) will deny a claim line that includes more than one unit. MHCP will determine a per-session rate for H0031 and H0032 and will reprocess paid claims with dates of service beginning Jan. 1, 2019, once a new rate is established. (pub. 12/28/18, rev. 1/8/19)"

Since our claims are currently being denied, I contacted MN-ITS provider help desk to inquire about this.  Essentially they have no answer as to when the rate for 1 unit will be decided, or what that rate will be.

Has anyone come up with a decent conclusion how to bill for these properly?  Provider help desk did say they will automatically resubmit all claims that contain 1 unit.

Thanks in advance

Just wanted to say thank you on the great job done with adding the ability to add descriptions and archive documents in the payers tab!  The new features there have been more useful than I anticipated.

Thanks again!

One of our facilities has been relicensed with 24hr Customized Living, and part of the requirement is for all clients to have a summoning device on them, in the event they need staff assistance due to a fall, health issues, etc.  Does anyone have any recommendations on a call/summoning system that is reliable?

I'm finding some options that are either extremely expensive or cheap and appear to not be very durable/reliable.  If anyone has any input, we would greatly appreciate it.

Thanks!

Additional Resources (links will take you to the Knowledge Hub)

• Appointment Recurrence Change Options
• Add Individual Appointment
• Add Resources to an Appointment
• Add Recurring Appointments

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Is anyone else experiencing when entering information into Procentive it is not saving?

We have billing cycles we re-use each year. Is there a better way to clear old data besides going into each child's billing box to delete them?