I was wondering if anyone else was having the same problem and if there were any suggestions on our end for this. Recently we have had two different kids have skills (H2014) deny because according to the representatives at Blue Cross PMAP "there is a waiver that the policyholder did not sign."

What does this mean? Who would then be responsible? Since it is a PMAP plan and the child has active MA, we are unable to bill the parents for not signing a waiver. If they did in-fact not sign a waiver, why would only the skills deny and not other IOP services that the child was receiving?

If a client has commercial insurance as primary, but MA as secondary, do you do MA-required charting, ie full DA, treatment plans every 3 months...? 

Is there a report that will pull in staff's continuing education credits?

Hello Everyone,

Procentive has been made aware that the Ticketing Module and Workflow Module are flashing for staff who have items that require their attention - as they should - but when accessing the Module, no items will be flashing. 

We are actively working to resolve this, but in the mean time staff may wish to change the following setting to stop the flashing:

Settings Module > Preferences Tab > Ticketing Reminder Type > Solid

Updates will be added to this post as they become available.  

Edit: Testing has determined that this did not effect the Workflow Module.

Good afternoon,

We recently received information from OptumPracticeFi. They presented patient financing for those patients unable to pay account balances for various reasons. They are not a collections company or a lender but the Integrator. They have partnered with a variety of lending sources which enables behavioral facilities a more dynamic and inclusive option for cash-pay patients in one simple application. The behavior facility is paid, the patient then owes the lender.

The website is: www.optimumpracticefi.com Optum Practice Financial Patient Solutions Financing

Has anyone from this community worked with this group or have any knowledge or insight? 

Debbie

Hello Everyone,

It has been brought to our attention that both Kiosk mode functionality, and sending forms to clients via. email and Client Portal have been intermittent. 

We have all available resources working to resolve this, and we will update this post when we have more information available. 

Thank you,

Pro Care Team

We are not able to send tickets through "Help" nor are we able to send forms via kiosk mode.  

Hello  We are a non for profit and are currently implementing Procentive. After the implementation started we found out that Procentive is a cash basis system only.  We are having issues with reporting specifically revenue and also creating a detailed Aging based on Service Date, by Payor regardless whether billed or not. Is their anyone on Procentive with this issue and have you found solutions for this?

Is anyone else having issues with workflow with the interaction types that you use? We have multiple programs so how I have it set up is I have a project for tx plans but for each program. for example I have a tx plan for ARMHS and MH I then set each of them up with their own workflow project by program and they each have their own interaction type for that program. However when I change one it changes the other to what I just updated let's say Mental Health. I am getting really annoyed. I did not even copy one from the other and they are different tx plans as well. Anyone else notice this? 

thank you 

Teresa with North Homes Children and Family Services 

We keep getting rejects with the following wording, wondering what others have done because it seems to stop them from ever getting to the payer, but doesnt really say whats wrong?

 Category: Acknowledgement/Returned as unprocessable claim  The Cl
aim/Encounter has been rejected and has not been entered into the adjudication system St
atus: Processed according to contract provisions (Contract refers to provisions that exi
st between the Health Plan and a Provider of Health Care Services)