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ASAP Billing and Financial Networking Group

Public·23 members

Anna Unnerstall
Anna Unnerstall

October 16, 2025

Quick recap

The meeting began with personal updates from Carrie about her daughter's surgery and recovery, followed by discussions about meeting logistics and scheduling issues. The team addressed billing challenges related to RSS and PRS contracts, including delays in submitting invoices and processing payments through various systems. The conversation concluded with discussions about credentialing processes and authorization requirements for OTP services, highlighting ongoing challenges with payment processing and Medicaid revalidation.


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Summary

Daughter's Recovery and Meeting Logistics

Carrie shared updates about her daughter's recovery from surgery, which involved a rod being placed in her leg, and discussed the challenges of managing her daughter's situation while in Florida. Noelle and Carrie discussed meeting logistics, including confusion about meeting invites and the need to streamline them. Carrie also shared her experience of staying in a luxurious apartment complex in Florida, which offers various amenities, and mentioned her daughter's difficulty returning to work due to her cast.


Remote Work and Meeting Management

Carrie shared her experience working remotely and mentioned she would return briefly before attending her son's wedding in Central Florida. Noelle discussed managing multiple meeting invites and planned to reset the system after their upcoming member meeting in November. Quincy inquired about meeting reminders, and Noelle explained she would clean up the system to avoid confusion. The meeting began at 9:05, with LUCI noting that Yvonne was absent due to PTO.


RSS Billing and Payment Challenges

Carrie and Luci discussed billing issues related to RSS and PRS contracts, with Carrie noting delays in submitting September's invoice due to unclear instructions. Geri from Recovery Resource Council mentioned they had submitted September billing through REDCap and had not encountered any issues. Luci explained challenges with Be Well, the administrator of their OTP/MOUD program, including delayed payments due to Be Well's monthly billing process instead of their usual weekly submissions.


OTP Billing and Payment Challenges

The team discussed challenges with billing and payment processing for the OTP program, particularly through HHSC. Geri and Carrie noted delays in voucher processing and access to payment information, which is crucial for their year-end audits. Quincy mentioned receiving September payments but expressed concerns about the lack of detailed voucher information. The group also discussed their billing schedules, with Carrie explaining their three-submission monthly process to ensure accuracy and catch errors.


Appointment Data Verification Process

Carrie and Kathy discussed the process of reviewing and verifying appointment data, with office techs or intake coordinators checking counselor progress notes and sign-in sheets to ensure accuracy. Luci noted similarities with their billing department's review process. The conversation concluded with Carrie mentioning the arrival of Medicaid revalidation renewal notices, which she finds daunting.


Credentialing and Billing Challenges

The group discussed credentialing processes, with Quincy sharing her experience of a 2-3 month TMHP credentialing process that became smoother once she established a single point of contact. Luci explained that LPCs now need Medicare credentialing due to new Medicare payment policies, which has led to longer delays of up to 6 months. The team also discussed challenges with the new Be Well billing process, where Carrie reported difficulties with authorization requirements for OTP services and noted that September payments are still pending, creating concerns about cash flow and the process for handling retro Medicaid cases.

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