I have not billed anything lower than 4 units for an hour visit, yet. I do not know if they will adjust down if you bill 3 units.
KELLY RADER
INSURANCE BILLING SPECIALIST
HENNEPIN HOME HEALTHCARE
763-425-5959 EX. 44
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Julie Embry
Sent: Tuesday, May 14, 2019 1:54 PM
To: billers@list.mnhomecare.org
Subject: RE: Medica Medicare Advantage Plan
What were you reimbursed per 15min? Did they adjust down?
Be Compassionate. Be Accountable. Be Respectful. Be Excellent!
Julie Embry
Director of Business Administrations
Guardian Angels Elim Home Care and Hospice
403 Main Street, Elk River, MN 55330
Direct 763-452-4104
Main 763-241-0654
Fax 763-241-0274
Email
jembry@gaehc.org
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Kelly Rader
Sent: Friday, May 10, 2019 9:18 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Medica Medicare Advantage Plan
Good morning. We billed G0299 per 15 minute increment per date of service and were paid. We did not include the HIPPS code.
KELLY RADER
INSURANCE BILLING SPECIALIST
HENNEPIN HOME HEALTHCARE
763-425-5959 EX. 44
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Rettig, Lynette
Sent: Tuesday, May 07, 2019 3:54 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Medica Medicare Advantage Plan
Did they tell you whether the HIPPS code was necessary??
Lynette Rettig
Billing Supervisor
Ridgeview Home Health Services
501 S. Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 35520
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Jennifer Larsen
Sent: Tuesday, May 07, 2019 3:53 PM
To: billers@list.mnhomecare.org
Subject: RE: Medica Medicare Advantage Plan
*CAUTION - EXTERNAL EMAIL* This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
Lynette,
We also got paid 1 unit, on 1 code per claim and the rest of the G codes were denied. I attended a Medica Webinar today, and I posed the question to them about sending corrected
claims now or wait until they finish their reprocessing project. There were several people on the Medica end and they were not sure how to answer that so the presenter had me send her an email and she will be following up on it. Until I hear back from them
I wont be sending corrected claims.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Rettig, Lynette
Sent: Tuesday, May 7, 2019 2:59 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Medica Medicare Advantage Plan
We are not putting the HIPPS code- just the G codes and the # of 15 minute units- does it require the HIPPS code- We got paid 1 unit because we did not have
the 15 minutes units on the claim- I have to do adjustments on all my claims.
Lynette Rettig
Billing Supervisor
Ridgeview Home Health Services
501 S. Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 35520
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Marnie Pogreba
Sent: Tuesday, May 07, 2019 2:34 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Medica Medicare Advantage Plan
*CAUTION - EXTERNAL EMAIL* This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
When billing the new Medica Advantage Plan, are you including the HIPPS code on the claim even though you are not billing episodically?
Thank you,
Marnie
Lakewood Health System Home Care
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Muench, Stacie J
Sent: Thursday, May 02, 2019 5:11 PM
To: 'billers@list.mnhomecare.org'
Cc: Jenny Ammons
Subject: Re: Medica Medicare Advantage Plan
LAKEWOOD HEALTH SYSTEM SECURITY NOTICE:
This email originated from an external sender. Ensure you know the sender before clicking on any links or attachments.
I agree. There has been so many billing changes since the beginning of the year- it must be a record. I haven't seen these many changes in one year.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Jennifer Larsen <jlarsen@gaehc.org>
Sent: Thursday, May 2, 2019 5:01:50 PM
To: 'billers@list.mnhomecare.org'
Cc: Jenny Ammons
Subject: Re: Medica Medicare Advantage Plan
WARNING: This email originated outside of Essentia Health. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe.
I just received a fee schedule yesterday from our rep and yes it is billed in 15 minute increments. And the new reimbursement is pretty good. Today I have been working on re-billing our claims, super
fun considering its 3 months worth of claims. UGH.
Yesterday I had a very lengthy call with Medica customer service because we received a remit for some March charges and even though they paid on 1 G code per claim, I knew it was incorrect. She stated
that the customer service reps just found out about this issue on March 28th and per the email she read to me, this issue is impacting all home health agencies, it also impacts all T, S and G codes billed by home health. Medica has ran a report to capture
all the impacted providers and they are in the process of re-processing all claims under the correct fee schedule. Which will take an additional 30-60 days and when it does get paid, it will still be incorrect if you didn't bill by 15 minute increments.
Whose ready for PDGM. These changes have surely made my brain hurt this year.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Patti Fladwood <pfladwood@preshomes.org>
Sent: Thursday, May 2, 2019 4:34:09 PM
To: 'billers@list.mnhomecare.org'
Cc: Jenny Ammons
Subject: RE: Medica Medicare Advantage Plan
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.
Patti Fladwood
BILLING SUPERVISOR
Optage Homecare, Hospice, and Primary Care
Presbyterian Homes & Services
2845 Hamline Avenue North, Roseville, MN 55113
Tel:(651)631-6198; Email:
pfladwood@preshomes.org
Optage®
is the home and community services division of Presbyterian Homes & Services.
"This electronic mail transmission may contain confidential health information that is protected by law. It is not intended for transmission to, or receipt by,
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From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Marnie Pogreba
Sent: Thursday, May 2, 2019 4:26 PM
To: 'billers@list.mnhomecare.org'
Subject: Medica Medicare Advantage Plan
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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