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Secondary Payer Settings

Jeremy Roelofs-Lynch 7 years ago in Settings Module updated 7 years ago 3

Hello,

I am trying to set up billing a secondary insurance for our locations -- they have never done this in the past!

I found the settings but after some initial testing it wasn't populating the correct $$$ on the claim(s). There are multiple Yes/No options...help!

Use these settings when a payer is the secondary payer:

Subtract these when computing invoice charge on claim:  

Add these when computing the prior payment:             

Subtract these when calculating the invoice charge:

I am hoping someone can share ideas/best practices on how to get secondary payer billed launched.

Thank you!

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Procentive Down?

Kali 7 years ago in Industry News/Discussion updated by Missy 7 years ago 1

Was kicked out of Procentive and unable to get logged back into Procentive for 10 minutes now.  Is anyone else experiencing this too?

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Referring Provider on an 1500 Professional Claim

Jeremy Roelofs-Lynch 7 years ago in Billing/Electronic Modules updated 7 years ago 2

We are attempting to bill an IFB (Individual & Family Business) plan that requires the referring provider on the claim. I am having trouble getting this populated. 

Where is this pulled from in Procentive?

Any help is appreciated! 

JRL

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We are wondering if anyone has billed for multi-family group sessions without client present. If so under what CPT code?

Kelli Feucht- ACS 7 years ago in User Group Help updated by Kim Ross 7 years ago 4

We found CPT code 90849- Multiple-family group psychotherapy, however the description states when the patient is present with his or her family, as well as other patients and families for 50 minutes.  Any information provided is appreciated.

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Medica "required forms and process"

Abarnes 7 years ago in Industry News/Discussion 0

Does anyone send in client wellness assessments to Medica after a client has been seen the first or second time? Also do you fill out the form on the Optum website that reports how many complaints you have had for the quarter from Medica clients?

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Becoming a Medicare Provider

Diane Bilger 7 years ago in Billing/Electronic Modules updated 7 years ago 4

How involved in the Medicare application process?  Our agency is not currently set up as a Medicare provider, but need to move forward on applying.  I'd appreciate your thoughts on how time-consuming the application process is from start to finish.  

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Copay issues - how to show where an old copay was applied when it's now an "applied credit"

Betsie F. 7 years ago in User Group Help updated 7 years ago 4

How do people show their clients exactly how their copays were applied, when the copay has been turned into a "credit applied"?  Sometimes clients wants to know which copay they missed a long time ago (like in 2016) and sometimes a client wants a list of all copays they've made, showing on which DOS they were allocated, to submit to their flex-spending account. 


In order to make them an actual "list," we have to print out a list of their payments, then for all of the "applied credits," try to figure out which copay date might have been applied to it. This often takes a very long time to research.  What do the rest of you do to show exactly where a copay was allocated, when it has turned into an applied credit?

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Offering Employee Benefits Packages

Tracey Malone 7 years ago in Accounting/Collections Modules updated by Susan Davis LICSW 7 years ago 5

Our clinic is currently set up with only the option of being Independent Contractors. We are exploring the possibility of developing an employee option/employee benefits package as well. Has anyone been through this process or  have suggestions about options and/or where to go to develop this?

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Charging County Insurance Clients for No Shows and Late Cancels

Paula 7 years ago in Industry News/Discussion updated 7 years ago 1

I understand that we must accept payment in full, regarding billed claims, when our clients have a county insurance.  My question is.... is it permissible to directly charge a client, with county insurance, a fee if they Late Cancel and/or No Show.  We do have it addressed in our financial contract, which is signed by each new client.