Did anyone else have a high number of claims processed incorrectly on their 8/16/22 MA ERA?  We've had claims that have partially processed to CO45 - but should be reimbursed fully.  From what I can tell, it looks like anything that was over 10 units for a WEEK was processed tot he provider discount, which is incorrect.  I'd love to know if anyone else had issues.

Has anyone else had an issue lately where staff has been unable to see charting or create treatment notes for their own clients?  We have been experiencing this over the last few weeks.  

Have checked the staff tab and they are not excluded from viewing.  Have ticketed Procentive X2, but haven't heard a word back.  Thanks everyone!

Sheryl Martin

Hello - We are in the very early stages of opening a Withdrawal Management line of business. Does anyone use Procentive for clinical charting and billing? Thoughts?

I have always worked with 245G SUD services so this is new for me. - Thank you JRL

Are there any organizations that have their settings for time to "round up to the nearest unit" or "round to the nearest unit"? I am curious if the logic is that 1.5 would round to 2 units? If you use this feature would you be willing to chat so I can pick your brain a little? :)

We are unable to access Procentive.  I've tried different browsers and I get a blank screen or it says page not working.

I'm no sure if this is just us but is anyone else not able to get Procentive Login page to load? Thank you!

In the near future, we are hoping to add a Nurse Practioner to our facility, we are Residential Treatment for Adolescents Co-occuring.

  Our biggest hurdles are: 

1. how do we bill for her services,   Rev code, procedure code, etc.

2. Do we need to be credentialed by the insurance companies to add this service for billing?

3. We bill UB-04 can we bill for her services on a UB or do we need to use the 1400/1500

Help!  I can't find a definition of what the L,P,A, and F mean at the top of the Clinica/Charting Tap

Hello, 

We have a drug testing lab that does screenings. We have been billing drug testing codes 80307 and 80305 for our own treatment clients for a few years now, and we are just now gearing up to do drug testing for clients referred to us from outside of our own organization. My question has to do with entering a diagnosis code for a client who is coming to us from outside of our own organization. With our own treatment clients, they already have a diagnosis assigned by the clinical staff. With external clients, we won't know the diagnosis or they may not have one. Is there a catch-all diagnosis for drug testing that can be used? I found Z03.89. Does a clinical staff person have to assign the diagnosis? I'm doing the billing for service provided by our lab and there would be no clinical staff to individually assign a diagnosis to each client. We do, however, have a medical director who writes standing orders. I'm hoping someone with experience doing this can give some guidance on my diagnosis questions. Thanks.

Hello

I am wondering how other agencies deal with COB denials.  I have some claims pending due to requesting COB information from the policy holder for different payers. What is your process for these types of denials? Ive thought of sending the client a bill for the amount due. Any advice is welcomed1 Thanks