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G-codes

mboron 8 years ago in Billing/Electronic Modules 0

Is anyone using G-codes and other tracking codes for quality measures and reporting them to the insurance plans? 


If so, are all payers allowing them to process through their systems, such as Commercial plans, MA/PMAP plans, and Medicare?  Or are they rejecting the claims because of these codes?


We are going to be using some that will be tracking BMI (G8417, G8418, G8420, G8422, G8938, G8421 and G8419), Tobacco screening (4004F, 10036F, 4004F 1P, 4004F 8P), Alcohol (G9621, G9622, G9632, G9624) Suicide risk (G8932, G8933), Screening for clinical depression (G8431. G8510, G8433, G8940, G8432, G8511), and PHQ9 (G9511, G9509 and G9510).  Wondering if anyone else has any experience with these codes.


Thank you!

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90791 Payout

Stephanie B 8 years ago in Billing/Electronic Modules updated by anonymous 8 years ago 4

I have noticed that, besides UBH, the payout difference on a 90791 and a 90837 is only a few dollars. Have others noticed this? Should I be negotiating a higher payout on 90791s?

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Fixed

KNOWN ISSUE: 1370 Payments Breakdown Report

Ashley M 8 years ago in Known Issues updated 8 years ago 3

We've been informed that the 1370 Report is not displaying the correct data for some customers. Our engineering team is working to update the 1370 Report and resolve this issue. Updates will be posted here as we receive them. Thank you!

Answer
Ashley M 8 years ago

This has been resolved. Thank you for your patience while we worked through and tested this sneaky issue!

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Product Updates Effective 5/10/2017

Alicia Swanson 8 years ago in Procentive News 0

In an effort to further improve performance, Procentive has made changes to the Eligibility Module and Clinical Charting Module. Most of these improvements will not be visible to you (they are behind-the-scenes improvements to the code). But there are a few changes we want you to know about:

-Eligibility Module- You will only be able to re-sort (by clicking on the column-header) with the client and payer columns.

-Eligibility Module- Instead of showing all client appointments for the date range, Procentive will display only the next three appointments. If you need to see all of the client's appointments, you can still access them by clicking on the client number, which then opens the client dashboard.

-Eligibility Module- The Quick Search and Advanced Search will no longer be available. As an alternative, we suggest using the search tools at the top of the screen (for client and payer). Or you an use the "Find" tool in your browser, by clicking CTRL +F on most PCs, and Command +F on the Mac. The Find tool is a great way to search for a client's payer ID, for example.


-Clinical Charting- Searching is now more optimized with greater speed when loading the results and allowing you wider searching for all staff, all clients, NOW up to a 90 day range.

If you have any questions or comments, please send a ticket through the Procentive Support Desk. Thank you!

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Documentation on staff in Procentive?

Jonathan Beulke 8 years ago in Staff Module updated by crystalp 8 years ago 3

Our practice would like to be able to keep documentation on our staff on file in Procentive, but I am not aware of a method to do so. We would like to be able to record notes, staff reviews, tax documents, disciplinary action, etc. within Procentive in a similar manner as we do with our clients. Is this possible?

Thanks in advance!

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Biller Refresher Training

Pat Stream 8 years ago in Billing/Electronic Modules updated 8 years ago 0
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Fixed

KNOWN ISSUE: MN MA Eligibility will be down 5/7/2017 - 5/8/2017

Ashley M 8 years ago in Known Issues updated 7 years ago 1

We have received the following information from MN MA:


Eligibility Real Time 270/271 Users:
On Sunday, May 7 at 8:00 pm through Monday, May 8 at 6:00 am CDT, we will be performing system maintenance that will cause service interruptions.


Eligibility will not be available in Procentive during this time while they complete their maintenance.


Thank you!

Answer
Ashley M 7 years ago

This has been resolved.

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Fixed

KNOWN ISSUE: Procentive experiencing slowness

Jessica Sommerfeld 8 years ago in Known Issues updated 8 years ago 7

We apologize for the slowness you may be experiencing in Procentive. This is intermittent and we're working to address the issue and resolve as soon as possible. Thank you for your patience as we work through this today.

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Fixed

KNOWN ISSUE: MN MA Eligibility Issues

Jessica Sommerfeld 8 years ago in Known Issues updated 8 years ago 9

We have received the following information from MN MA/DHS regarding eligibility:


Attention MN Medicaid Real Time Eligibility users:

MN Medicaid’s Real Time Eligibility applications are currently experiencing timeout issues. Users are reporting failure rates of approximately 50%. Our Operations staff have been notified and are working to correct the issue. We will send further information as it becomes available.

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Has anyone had problems resending a replacement claim?

Tina B 8 years ago in Billing/Electronic Modules updated by Jessica Sommerfeld 8 years ago 1

When I resend the claim, it does not bring the claim up for me to check and send electronically.

Nothing is there.