Outsourcing Credentialing
Looking for recommendations on credentialing services that your organization currently works with.
Preferred One payments
Is anyone else getting double or even triple payments coming in from Preferred One?
Hello,
Here is the communication Procentive received recently from our partners at the clearing houses regarding Preferred One ERAs.
"Preferred One distributed some old remittance data on May 9th (2019). These remittance files were distributed to our trading partners because they were NOT duplicates of previously processed remittance files. Preferred One notified the clearing houses at approximately 12 noon today of their processing error. Unfortunately the files were processed and distributed to our trading partners the same day that they were received."
Although Preferred One states that these are not duplicates, what we have been able to uncover is that they're not duplicate File Names and Check Numbers, therefore resulting in possible duplicates in our system.
One way to check to see if this has already been paid is to check to see if this is an old check date, as well as if this has already been posted a posted payment in the system (seeing the yellow can't use field, or clicking the payments link to see if there is a posted payment)
If it is a confirmed duplicate payment please manually mark the ERA as Processed, and do not save the payment in to Procentive. If you have saved the payment, simply access the payments module and delete the payment.
Please submit a Support Ticket to Procentive if you have any additional questions.
Thank you,
Amanda Kaufmann
Customer Success Manager
Best Practice - Discharing clients with a balance due, provider leaving
Wanted to ask other people what their experience is / what they find works the best when discharging clients from a provider's case load when they still have a balance due.
We are trying to determine whether or not it would be ok to make our AR person their "primary" staff person. Anybody see any issues with that?
We have a provider who is leaving the practice, and a few of their clients are discharged from care, but they would still show up on her list unless we save them to another person. They are no longer receiving services here (officially discharged) but they owe money still.
Goal being that we don't lose track of them and their balance due - we also don't want to ambiguously assign them to another provider and have them showing up on their list, throws their stuff out of whack.
All ideas welcome, thanks!
Billing Aftercare?
We currently bill all our group/individual sessions under H2035. Once clients complete programming they are welcome to attend our aftercare group that meets on Saturday morning for a coupe hours. Currently this is free of charge; however, we are looking at possibly being able to bill for this service.
Does anyone else bill for aftercare? If yes, how do you do this if the client was discharged from programming? Do the insurance companies pay? What code(s) do you use?
Any insight would be greatly appreciated.
:)
Can't log into Procentive
I can't log into Procentive this morning..
I receive this error:
Your connection is not private
Attackers might be trying to steal your information from app.procentive.com (for example, passwords, messages, or credit cards). Learn more
NET::ERR_CERT_DATE_INVALIDHelp improve Safe Browsing by sending some system information and page content to Google. Privacy policyBack to safetyHide advanced
This server could not prove that it is app.procentive.com; its security certificate expired yesterday. This may be caused by a misconfiguration or an attacker intercepting your connection. Your computer's clock is currently set to Thursday, May 2, 2019. Does that look right? If not, you should correct your system's clock and then refresh this page.
Any ideas?
Good Morning,
Expired Certificate warning: Resolved
Early this morning Procentive was made aware of an Expired Certificate warning when users were logging on to Procentive. The cause of the issue was identified and the problem resolved by 7:45 a.m. CST. Throughout the time the warning was appearing for users, Procentive maintained encryption.
If you have any further questions about this incident, please submit a Support Ticket.
Thank you for your patience,
Amanda Kaufmann
Customer Success Manager
Has anyone's MN DHS ERA's not come in this week?
I haven't seen that our ERA from DHS come in. Does anyone know if there is a delay?
Delayed ERAs from DHS
We are aware that DHS ERAs have not yet come in to Procentive from DHS.
DHS does have until Friday 5/3/2019 in order to process the ERAs in to our system.
Procentive is actively working with DHS to determine their resolution, and obtain a timeline that we can expect to see these populate in our system. In the meantime, the ERAs are accessible via the MN-ITS portal.
Please continue to keep an eye on this via the Live Updates Page. We will post here when we have obtained additional information from DHS.
Thank you,
Amanda Kaufmann
Customer Success Manager
Does anyone have a solution to billing claims for LPC for individuals with Medicare as Primary?
Does anyone have a solution to billing claims for LPC for individuals with Medicare as Primary? I have an individual who wants to see our LPC, but has Medicare as the Primary insurance. BCBS is secondary and they are denying claims stating it needs to be sent with EOB information from Primary. What is the best way to get this claims processed by BCBS?
Could someone tell me the code that you are billing for on a External DA review and a Explanation of findings
Could someone tell me the code that you are billing for on a External DA review and a Explanation of findings
Mental Health IOP
Hi, I am new to contracting and my supervisor wants me to get us set up for IOP for mental health. I see some insurers require us to be contracted as a facility but others, it does not look that way. Do you know, do we need to be contracted as a facility and bill on a UB04 or as a clinic and bill on the HCFA with the H2019 codes? any help is very much appreciated as I am quite confused.
Appointment reminder issues today?
Has anyone else been hearing from customers today about not getting appointment reminders?
Customer support service by UserEcho
