Does anyone know the legalities or tax issues related to FSA $. We have a client who was paying co pays with his FSA but after a certain amount of visits, his insurance started paying in full but he still was paying some co pays. Now his FSA administrator is asking for an itemized receipt but we can't really give him one because we did not allocate the payment. Can we refund the client and he then has to send the $ back to FSA account? Suggestions?

Hello! So, I had a patient call regarding Medicare denying our ARMHS code, H2017. She called Medicare and said I submitted it incorrectly. When I called Medicare, they said that the code had an "I" next to it and I'm submitting the wrong code.

Is there an equivalent Medicare approved code that would cover this type of service? Or am I getting mixed answers?

Does anyone else have problems finding out who their Medica/UHC/Optum network rep is? We have had many different reps over the past 4 years and currently, we have tried getting in contact with someone and we still have not pin pointed who that person is and get no response from anyone at Medica. It's very frustrating as we have contracting questions, consistent denied claims for IOP, etc. Who would like to share names and contact info of people you have at Medica who may be able to help us? THANK YOU.

Anyone know if there is a special science to choosing which taxonomy code your providers or clinics send with claims? Is there a right or wrong taxonomy code? Do we just need to choose whichever one fits the clinic or provider the best? I appreciate any suggestions.

We received notice from the clearinghouse that claims submitted to Cigna from 10/01/2017 - Current  may have rejected in error with the following message:

A3:688 - Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system. Present on admission indicator for reported diagnosis code(s).

Any claims rejected in error with this code have been identified by Cigna and will be reprocessed. No further action is required.

Have a great weekend!

We are newly licensed Rule 31 and Cigna let us know that they reimburse H0015 for outpatient CD services. 

Does anyone else have experience billing H0015?

Thanks,

KIM

Happy New Year! 

Is anyone out there with a consolidated NPI using Procentive's eligibility check module? That is, an NPI that has two separate taxonomies on MNITS (one for CD and one for mental health). How is this working? Since DHS approved our Rule 31 enrollment and added the taxonomy code, we've not been able to use our agency NPI and the Eligibility check in the client record. Please help!

Hello all,

 does anyone know a setting or another fix for the apt screen on an Ipad pro? When we are in our calendar, several hours show that we do not use, making our providers scroll down to get to their day. there is no "scroll" bar on the right side as there is on a PC. Thank you in advance.

Sorry if asked and answered but which form triggers the signed release for billing purposes.