What are people using for a relationship code of step child?

Looking for some advice on how to track client contact in order to bill target case management tiered billing system. Does anyone currently use this billing system for their TCM program? This system allows you to bill at a higher rate as long as you have a certain amount of client contact. If you have billing system you are willing to share let me know. For audit purpose we will need to be able to document the client contact(clinical note and or time add??)

The ICD10Data.com site says this about the bereavement Z-code;

• Z63.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes
• That makes me think I CAN bill it. The client's Mental Health benefit detail link(BCBS,Availity) says that marriage counseling(another Z-code) is NOT covered but doesn't mention bereavement counseling.
• Is there some unwritten rule about Z-codes that I don't know about?

Procentive's mirrors are experiencing a delay right now. You may experience blank pages, or a delay in saving. The problem should be resolved soon. Weill update this topic once the delay is resolved.

SCOPE: This know problem effects any customer that sends clinical charting forms through client portal AND the client has declined client portal.

DETAILS: The problem occurs when you invite a client to client portal and send the client clinical charting forms to complete. The client will receive two emails (one to register & one to open their portal to the forms). If the client declines their portal, then the client will not be able to access the forms from the second email. This also means the client will not be able to fill out forms on their own through kiosk in the future.

WHAT SHOULD YOU DO: At this time, you should only be aware of this issue when kiosking forms to clients.

We will provide updates here once we have more information.

Thank you.

Possible issue -- in the client module/payer tab

SCOPE: This problem has only been confirmed for a single Procentive customer, and we have only been able to re-create the problem in the one database. So at this point, we do not know if the problem is widespread or very limited in scope. It is weird enough, however, that we wanted to let folks know about it.

Thank you.

ome providers are having issues with billing Medica for mental health and chemical dependency claims since January of 2016 (change went into effect). Can anyone advise me on how they are billing these claims? Medica is requesting all residential billing be billed on a monthly basis and if a client misses one day (hospital, etc.) then the provider will need to bill that day(s) as a Leave of Absence (LOA). Has anyone billed this way? If so, could you provide some guidance regarding what revenue code you are using and what fields of the UB-04 form you are filling out to complete this claim? I appreciate your help. Thank you.

I'm sure some providers are having issues with billing Medica for mental health and chemical dependency claims since January of 2016 (change went into effect). Can anyone advise me on how they are billing these claims? Medica is requesting all residential billing be billed on a monthly basis and if a client misses one day (hospital, etc.) then the provider will need to bill that day(s) as a Leave of Absence (LOA). Has anyone billed this way? If so, could you provide some guidance regarding what revenue code you are using and what fields of the UB-04 form you are filling out to complete this claim? I appreciate your help. Thank you.

Hi Community,

I'm hoping someone out in the community has an answer to this question.

If an ARMHS client has Medicare as their primary insurance payer and PMAP/MA as their secondary payer and is seeing a NON-Medicare provider, how to we bypass Medicare and bill the PMAP plan or the MA plan as the primary insurance plan? Do we need a modifier to do so?If a modifier is required, what is the modifier code used bypassing Medicare, billing PMAP/MA as the primary payer.

I'm advised we should bill Medicare first and get the denial then send the claim to the secondary plan, PMAP/MA.

Does anyone have experience with this? I'd love to hear from someone. Thank you for your time.