REMINDER: PrimeWest Health Plan will be implementing their new change for institutional claims, requiring a valid Attending Physician's name and NPI to appear in the 2310A loop effective April 14, 2017. Please be sure that you've taken the steps outlined below from our mass email sent out March 31, 2017 prior to April 14th to prevent claim rejections and denials.

If you have any questions regarding this change, please submit a ticket to the Procentive Support Desk.

Thank you!

Does your clinic charge late fees or interest to clients whose balance goes unpaid after a certain # of days? Do you feel this really helps to get payments sooner? Is it more of a hassle administratively? How do these fees or interest show up in a Procentive statement? Please give me any input on this as our clinic is revisiting this part of our policy. Thanks!

We've received the below information from MN MA/DHS:

"MN Medicaid’s Real Time Eligibility applications are currently experiencing sporadic outages due to issues with the MMIS Mainframe. You may experience sporadic timeout responses, and/or AAA errors with AAA03 = “42” (Unable to respond at current time). Our Mainframe staff are working to resolve the issue. We will send an update when the issues are resolved."

Please note that this may result in "No Response" status' on claims in the Electronic Module and errors when running eligibility until MN MA has this resolved. We'll update this post as soon as we know more. Thank you!

With clinical trainees, is the clinical supervisor (the one who fills the role of CS as defined by MN Statute) often times different than the billing supervisor? If so, what criteria do you use to choose a billing supervisor NPI to travel with the claim.

In the Procentive staff module, there are 2 fields: one for billing super and one for clinical super. In the payer module, there is also a field for billing supervisor which is the NPI that gets billed with a clinical trainee's service lines.

I'd like to hear how agencies are using the Procentive features, and how they decide which NPI to send with the claim.

Thanks!

Kim

Does anyone have a clear answer to what UCare plans we must bill with providers who are Medicare eligible? I have been told a couple of different answers by UCare reps. Curious if anyone else has asked this ? to them.

I have that the providers must be Medicare eligible for the following UCare plans: Essentiacare, UCare Connect Medicare (a rep told me this is a new plan, I know about UCare Connect, which is a SNBC plan and I think anyone can see these clients) and UCare for Seniors.

This morning we received the following communication from MN MA/DHS:

Attention MN Medicaid Real Time Eligibility users:

MN Medicaid’s Real Time Eligibility applications are currently returning error messages. Our Operations team are working to restore connectivity. We will advise when the applications become available.

We've been testing this and connectivity appears to be sporadic. Once MN MA has connectivity fully restored we will update this post.

Hello. We recently hired an Advanced Practice Psychiatric Nurse Practitioner to our staff and are working on figuring out what rates to bill for her services.

Does anyone currently have a NP and if so what are you billing for an intake (1 hr) session and a follow up/med check session (20 min)??? What rates do you charge for Private Pay sessions?

Hello everyone,

I am writing to provide an explanation for the outage we experienced last Wednesday afternoon, beginning at approximately 4:40 p.m.

While we have made significant upgrades to nearly every part of our infrastructure over the last 90 days, and we have seen marked improvement in our overall performance and user experience during that time, the cause of the problem last Wednesday was not connected to any of these recent changes.

Instead, the outage was caused by a hardware failure on our main database. You may find it interesting, or odd, or just plain unlucky given our recent performance issues -- but this particular problem has never occurred before in the history of Procentive. The hardware in question had been upgraded in 2016, as well.

Because the problem was connected to the main database, our systems engineers exercised additional caution in bringing the system back online, which is why it took nearly an hour before Procentive was accessible to customers again.

Our engineers have made the necessary fixes to the system and added extra consistency checks so we can meet our optimal recovery time should this happen again (which should be unlikely).

We apologize for this and other recent performance issues. Please know that we care about you, and your staff. We care about the work you do. And because of this, we will continue to work hard to make Procentive the best it can be now, and far into the future.

If you have any further questions, please let us know.

Thank you,

Kevin Holmes

Director of Product Services