We have just gotten “another” final word on how they are paying—not episodically, but with the G codes that they will be paying in 15 minute increments.  We have asked for clarification from our contract rep.

Hello,

I was hoping that someone might have had some success in billing the new Medica Medicare Advantage Plan.  I cannot get a clear answer from Medica if we should bill per month or episodic.   I billed monthly but we were not reimbursed correctly, when I called they just asked me what our Medicare allowable was so they could research the payment which makes me think I should void my claims and bill episodic.

Any advice would be appreciated.

Thank you.

Marnie

Lakewood Health System Home Care

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