Do you send in 0.00 charges then and they pay the HIPPS? I just talke to HCHB and they said they weren’t equipped to send in the HIPPS amount of the claim.
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,
any unauthorized persons. If you have received this electronic mail transmission in error, please shred it, and notify the sender by reply electronic mail transmission so that our records can be corrected."
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Julie Embry
Sent: Thursday, May 30, 2019 3:30 PM
To: billers@list.mnhomecare.org
Subject: RE: Health Partners MC Advantage Plans
Hi Patty
If you use HCHB, you may be able to change a setting in the claim profile to print zero dollars.. See attached.
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 Patti Fladwood
Sent: Thursday, May 30, 2019 8:27 AM
To: billers@list.mnhomecare.org
Subject: RE: Health Partners MC Advantage Plans
They are paying on the final, however, if the PPS rate is more that what was actually billed, they only pay the billed rate. We were told their system is not
set up with the PPS rates and they are looking into it. They asked if we could just bill the PPS rate but of course our system is not set up to bill that.
We are looking at our contract to determine if they can actually get away with that.
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,
any unauthorized persons. If you have received this electronic mail transmission in error, please shred it, and notify the sender by reply electronic mail transmission so that our records can be corrected."
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Jennifer Larsen
Sent: Thursday, May 30, 2019 6:40 AM
To: billers@list.mnhomecare.org
Subject: Re: Health Partners MC Advantage Plans
Hi Cindy,
Yes, we are having issues with payment also. I have also been told by customer service that the G codes (billed on the FC) are not on our contract. I emailed our contract rep
last week, she stated she has heard similar issues from other providers. She is looking into it now.
I did some digging on the HP site this past weekend and I did find information about the Advantage plans only paying out on the final claim. IF anyone has had success in getting
paid by them, is that correct?
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Cindy Gibbons <cgibbons@simione.com>
Sent: Thursday, May 30, 2019 5:33 AM
To: billers@list.mnhomecare.org
Subject: Health Partners MC Advantage Plans
Hi all
Is anyone having trouble getting paid from “Health Partners, their MC Advantage Plans”?
We are getting a “denial code CO-147 Provider contracted/negotiated rate expired or not on file”
After we called several times we are being told that the “issue lies with our facility rates not being uploaded to the PSF file through CMS.” We have also found out that the PSF file is the responsibility of each MAC (our case NGS).
Has anyone else come across this issue?
Thank you
Cindy
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Cindy Gibbons, CHCE Senior Manager, FINANCIAL CONSULTING |
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Simione Healthcare Consultants, LLC Main Office: (800) 949-0388 |
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