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Procentive Feature Suggestions

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  1. Ability to adjust billing time/units more specifically

    There are a couple of codes that need to be billed as such:

    bill 1 unit = 45 min and 2 units = 45-60 min

    Need to be able to do more than what is currently possible.

    1 vote

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  2. Increased visibility on Admit & discharge info

    Display and allow editing of Admit and Discharge info (including the "Day Code") on the X12 Claim Data Tab when billing (X12 opens from the "data" hyperlink that's on the "Confirm Invoices" window). Currently, this info is buried in the Change Client window, Admissions tab, and in the "Residential Days" window (opens from the "Edit Days" hyperlink that's on the "Change Time" window), or in the "Service" window (opens from lines in the Residential view of the Time Module). This is a lot of different places to review before billing and frequently one or more gets overlooked or sent incorrectly.…

    1 vote

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  3. Being able to visibly see which codes require an auth, not just payer wide

    You are able to set up a payer that requires an auth but not all codes require it. Wondering if it would be possible to set this up at the Payer level, Rates tab, Program/Codes tab? Or any of those tabs that have "Code" in it?

    A basic "Yes/No" check box should suffice.

    3 votes

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  4. base codes and base modifiers to allow for multiple rates

    Give us the ability to have set a base of codes and a set base of modifiers (both of these would not be attached to each other). So it would be more like a drop down system. We first select the code from a drop down. Then once we have that if a modifier(s) is needed, then we have separate dropdowns for modifiers. This would then allow for the multiple modifier combinations insurances use, but NOT require thousands of the same codes set up in the system. So basically have a CPT code module and a modifier module and WE…

    1 vote

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  5. 2 votes

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  6. Move Location of Due Date from bottom to Top of Billing Statement

    Right now the Due Date on a client statement does not stand out. It is on the bottom in the middle of other data. Moving it to the top of the statement, maybe in BOLD, but not crowded with other info, would seem to improve the likelihood of receiving client payments in a timely manner. Thank you!

    1 vote

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  7. Time add entries

    It would be very helpful if we has the ability to set up an alert/prompt when staff select a certain billing code when creating a time add for a session. If this could be specific to certain codes that require more information to be entered into the "note" box before they could save the time entry, it would create less work chasing after that information after the fact. For example, when billing "on hold" we request staff to select what the appropriate code should be once it is ready to be flipped and billed out. We have several codes set…

    1 vote

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  8. Ability to add copays/see copays while processing an ERA in the ERA module

    Please create the ability within the ERA module that when processing an ERA if a client has a copay as a credit, you can see that and apply it simultaneously while processing the ERA. Additionally, add the client's CCD balance to the ERA processing window so a biller can see if a client has a high CCD while processing ERA.

    4 votes

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  9. POS 2 and POS 10

    Would it be possible for Procentive to change the availability of the POS 10 for telehealth billing and change the 02 back to just having the definition of “telehealth”? It is confusing to staff when it is so specific and says the client is not in their home for the service

    1 vote

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  10. Credit Card use

    I WISH WISH WISH Procentive could create a report you could run or create a pop up message that would appear, that Procentive would know that you just posted an insurance payment to a clients DOS (like we post through the ERA module) and the system see's that there is a CC on file - it would alert us right away so that we could run the cc for the client responsibility.

    Also, I WISH WISH WISH Procentive would see a time-add and could see that there was a $ ($30) amount in the "copay" field and it would signal…

    1 vote

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  11. saving claims in ERAs

    We have to click on each claim in our ERAs to ensure that the session is saved correctly (some need to go to secondary, adjusted for co-pays already entered, etc.). It would be nice to have a keystroke option for saving a claim instead of moving the mouse back and forth between claim and save.

    2 votes

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  12. paper eob

    Please create the ability to upload paper eob's/denials into the payments module for a specific check. These usually involve multiple clients and would be a single place to easily attach directly to the check. This would also be HIPAA compliant.

    10 votes

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  13. Add a warning or stop billing on/beyond discharge date.

    I believe it is a very high priority to create an edit/stop within Procentive that will flag/stop/prevent a claim being billed beyond the discharge date or better yet, on the discharge date, per billing guidelines for Institutional claims. Billing should not be done for the day of discharge.

    5 votes

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  14. Electronic Module add Notes Tab to log rejection

    Is there a way in the Electronic Module you can add the Notes tab to add a note? It would be so helpful to make a note on a rejection vs having to go back into each report mode batch to see what it was and who it was for and easier to check if it has been resolved.

    6 votes

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  15. Credit Card on file

    It would be very helpful if Procentive could add a Credit Card Icon or word/phrase in the Payment Window, if there was a credit card on file.

    10 votes

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  16. Add Location to Payment window in ERA Module

    From the ERA module, when the New Payment window opens, it does not have a location drop down in this window.

    Is there a way to add the location drop down to this window or to make it look like it does when you add a new payment in the Payments module?

    2 votes

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  17. 4 votes

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  18. X12 raw data

    It would be wonderful to have a Knowledge Hub article that explains the X12 raw data. When an invoice is rejected, it is often difficult to impossible to figure out why, resulting in the necessity of a ticket.

    5 votes

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  19. Back date automatic adjustment of Expected Revenue

    We currently back date our end of the month invoices to the month they should be billed in. For example, at the beginning of April we are finishing up our March billings and we back date the invoice to 3/31/21. However we have discovered that the automatic adjustment from he expected revenue are not being back dated as well. So the discount is going into the current month and the invoice is going into the prior month. We are hoping that the discount will also be able to be backdated so that our net revenue is correct.

    2 votes

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  20. Change Time Entry - Active vs Inactive Diagnosis Codes

    When in the Billing Module and a claim errors out in the Change Time Window it would be nice that on the diagnosis tab, that it lists whether a diagnosis code is active vs inactive, so that when you are trying to fix the error, you don't mistakenly select an inactive Diagnosis code for the client.

    2 votes

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