Hello,

I'm curious. My boss said we used to have Procentive track the number of units left for certain codes for patients.

Ex: We can bill 20 units of 90837 per year...this feature would track how many are used and give us a heads up if they were running out.

The only thing I've seen is the Benefits part which will show how many units are available for service with an authorization. Is this the only one or does my boss know of a magical new thing I should be utilizing?

Last Tuesday there was coding related to an improvement to billing functionality that went through that triggered some claims to come back with an error from the clearing house.   The error has been resolved on our end but claims sent Tuesday or Wednesday will need to be resubmitted.

Because of this we are making the following recommendations:

1.  Review your Electronic Module for error-ed invoices that were sent on Tuesday or Wednesday and review the error reports.

2.  The error is located in the H1 segment.  If you find an error there, then the claim needs to be resubmitted.  The error on our side has been resolved and the claim will go through without the error impacting the claim again.

3.  Contact Procentive Support via the Ticketing Module if you have questions or concerns.

Has anyone lately had trouble getting their new contracted rates updated in UBH's system.  We have a contract effective 8/1/2017 and our claims still are not being paid correctly

Is anyone having trouble with UBH denying claims for no authorization when no authorization is needed?

Has anyone else received their letter/invoice from BCBS in regards to the overpayment of Medicaid claims that were paid at a CMHC level, incorrectly? And is so, what is your plan to identify and "internally" re-process ALL of the affected claims?

How does your organization track which clients have had their insurance benefits verified versus those that have not been verified for outpatient appointments?  (So all administrative staff can "see" this upon intake in procentive-specifically the Appointment Module)

Our agency is starting to use e-prescribing and have a few questions. 

Does anyone use e-prescribing? How have you liked it? Are you able to prescribe  C2 medications on Dr First? How does it work to send a lab order? 

Thank you 

Teresa

Is anyone else missing ERA's from BCBS from this past weekend? I normally get some decent sized ERAs and have not yet received BCBS commercial and only a smaller than normal Blue Plus.

Has anyone else closed any charts today and ended up entering a date of death? I am wondering when Procentive added the "Date of Death" box on the Client Tab of the Client Module? It is in the same place where the "Date file closed" used to be. Ended up putting in a death date for a child this morning, by accident. I did not see a notification of this change. Did anyone else? Should I be looking somewhere for these updates that I appear to be missing? Thank you for any help!

It has been brought to our attention that BCBS of Minnesota (ID SB720) has changed their requirements and are now requiring R&B codes to send before treatment codes on claims. As you may have noticed, all claims for R&B and treatment sent to BCBS of MN are being denied but are not given a denial reason. 

Thank you to all who have sent tickets relating to this issue. Through these tickets, and calls from our staff to the payer, we have succeeded in identifying this issue.  In the interest of saving your time, there is no need to call the payer on this issue as we are actively working on a resolution.

We are aware that this is a critical issue so please watch this post for an update. We will have more information available tomorrow (11/09/2017)

Thank you,

Care Team