Procentive Feature Suggestions
46 results found
-
billing outpatient, change of payers
When payers change, allow for each service line to be updated with the new code, rate, auth, etc. in the "Change Time" window just like it does when selecting the appropriate code, marked with "(auth)" at then end, in the Service window. Either that, or allow individual line changes in the Group format Service window without disturbing the other lines in the group.
Also, in addition to the drop down to select different payers in the "Change Client" window, could there be some master list, so it's obvious at a glance what a client's payer history is? I find it…1 vote -
Follow up Date Feature
I wanted to know if there could be a feature added whereas a claim can be pushed out or report that can determine when was the last follow up completed on an claim? Example: When working the 1310 (Unpaid) report and billing staff wants to run an updated report without the claims that has been followed up on within the last 30-45 days. I believe that this help avoid checking on a claim that has been recently worked or has been paid and claim will not show on the updated report. Thank you!
2 votes -
835 upload
Would like to be able to upload or send a ticket with the 835 file for uploading so we do not have to manually enter the claim for the payers that do not send electronic remits. Optum/UMR has a couple areas that only send via Vpay and no ERA, we have to go to Optum pay and download the pdf, there is an 835 file available for download also but I am told Procentive cannot take those.
2 votes -
ADMISSION
I am struggling with refiling older claims and having to delete "valid" discharge dates and Status codes informtion that was entered for newer claims.
I am hoping this can be claim specific instead of just under the admissions tab within the patient. It really makes it difficult to have to change the discharge information for refiled claims and then have to go back into the Admissions Tab and re-enter the discharge/status information so it's saved in the chart.
2 votes -
Electronic Module Advanced Search
I am a huge fan of the recent change to display BILLING staff name instead of Provider staff name on the Electronic Module page. With this new change in mind, I suggest adding "Staff" and "Reviewed" to the Advance Search parameters. This way, each biller could isolate the invoices they billed, and eliminate long lists of previously checked claims, allowing items to be easily sorted by other parameters.
2 votes -
payer takebacks
Please make processing insurance payers takebacks more automated.
2 votes -
private pay multiple cpt code pay rates
We have a sliding scale private pay option for our cash pay clients. If a rate is entered in client enrollment payer it charges that rate no matter the cpt code. We would like to set the charge rate based on cpt code (different rate for a 30 minute vs 60 minute session).
3 votes -
Allow adding internal units for billing codes to weight for different reimbursement rates (not to travel on billing)
Please consider adding a space to assign units (15 min increments) to codes that do NOT travel on billing/invoices. We need this feature added so we can weight clinician compensation in accordance to the codes they bill. Some codes pay out higher per unit than others, and we want a way to compensate the clinicians for the increased revenue brought in.
Example:
Code 1: bill 1 unit only but is paid out at $250.00 (we want to give clinician credit for 4 units due to the higher reimbursement and non billable time spent on the code).In practice, we would…
1 vote -
How can we change payer without the system creating a new bill line?
When a new bill is created is there a way to upgrade the system so we can chose to replace the first Bill instead of having to adjust each line we have to rebill? Example, we originally bill the wrong insurance and we do not want to "Adjust" off the incorrect bill line as the adjustment reflects negatively on our reporting, we simply want to bill the correct payer. How can we do that without creating a whole new bill line, or select an option to reverse the original bill line.
4 votes -
Invoice number permission
We would like to add a permission that could be added to a role, that would allow to change the invoice number and if a role didn't have that permission, a staff wouldn't be able to accidentally delete or alter that field.
This would help prevent human error or possible autofill issues, when billing.
3 votes -
Logic to screen for modifier/POS compatibility
We spend a fair amount of time correcting modifiers and POS in the Billing Module. For example, clinicians select 90834 GT but then select POS School instead of POS Telehealth. Or they select 90834 but then select POS 02 or 10 for TH. Would Procentive be able to add logic that would at least prompt a clinician to verify/update either CPT or POS if the POS does not match the code selected?
1 vote -
full code details in change time window
Ability to see the full details of the code in or from the "Change Time" window (number, modifier, name, description, revenue code, value 24 code). In our agency, many codes have similar/identical number and revenue codes, but other details are different. Since this is all the Change Time window displays, it can be difficult to verify which code is used at a glance. For a time the role I was assigned enabled the "edit" button in this window so I could click it to view more details. This was very helpful, but now my role changed and the button is…
2 votes -
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 -
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.…
2 votes -
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…
2 votes -
4 votes
-
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.
7 votes -
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!
2 votes -
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…
3 votes -
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…
2 votes
- Don't see your idea?