For any of you who are MN CTSS providers -

1. Has anyone had an unannounced site visit?

2. If you have more than one CTSS location, is each site individually certified for CTSS svcs?

3. For your Disclosure of Ownership form, who do you have listed as having "ownership" in your organization?  (Board of Directors, President/CEO, supervisors, etc.)

4. Is everyone aware there is a state-approved interpreter list and only those interpreters are reimbursable by state funds?

Thanks in advance for your input!

Is it possible to add multiple clients to one staff other than doing it individually for each client? We have about 40+ clients and around 35 staff and every time we hire a new employee, I have to add them to each client 1 by 1. Is it possible to add 40 something clients to 1 new staff all at once vs. adding 1 new staff to 40 different clients individually?

When new reports are created (DA's, EIDBI ITP's, and CMDE's), can the diagnosis date/ITP date's/CMDE dates automatically post in the client's module under the diagnosis/treatment plan tabs? If so, how can we make this happen?

Has anyone billed CTSS codes lie H2014 with UA modifier to commercial payers and have had reimbursement success? Or should we just skip billing primary commercial payers and bill directly to MA/PMAP? Have you had to put PR 96 on the COB info since commercial payers do not reimburse those services/codes? Thanks in advance.

Good morning!  I am wondering which report is commonly used to cross reference ERAs in Procentive with our bank statements?  I am looking at 1140 or 1370, but don't know which fields to fill in that will show me this info.  I'm currently getting too much detail.  I don't need client names, or each individual payment.  I just need the date, payer, and total check amount. 

Thanks & have a great weekend!

Jill

I did an analysis of billed R69's to see who was paying them. (These are generally a first appointment with a parent only--90846.) We have been paid for this diagnosis by Health Partners, PrimeWest, BCBS, Preferred One and America's PPO. We have not been paid by Medica or MA. Their denial description states "Diagnosis not consistent with procedure".

Is anyone billing this as a Z71.1 or a Z03.89? Are you being reimbursed by Medica and/or MA? Thanks in advance!

Sheryl

Here is the link that is associated with my question: Regarding MA/PMAP Plans.

Debbie

In order to prevent errors in claim submission and speed up the payment process for customers, Procentive recently started scrubbing claims data for extra spaces in areas like the client's name, address, policy ID, etc.

Today, for certain payers (not all of them), the system is showing an error that says, "The client's middle name may not have spaces before or after." In some cases, the error is a false error (meaning, there is not actually an extra space in the middle initial).

This problem will be resolved by tomorrow morning, as soon as our system updates overnight tonight.

Once the solution is confirmed to be working, we will update this post.

Thank you,

Kevin Holmes

We are currently experiencing an issue and we're working to resolve this. It should be back to normal shortly. Thank you for your patience.

We are experiencing slowness everywhere