Not yet – I just know of the setting.

 

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

www.gaehomecarehospice.org

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Patti Fladwood
Sent: Monday, June 03, 2019 7:47 AM
To: billers@list.mnhomecare.org
Subject: RE: Health Partners MC Advantage Plans

 

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.

 

optage

"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

www.gaehomecarehospice.org

logo burgandy web small

 

 

 

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.

 

optage

"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

 

 

Cindy Gibbons, CHCE

Senior Manager, FINANCIAL CONSULTING

Simione Healthcare Consultants, LLC
Hamden, CT

Main Office: (800) 949-0388
Fax:    (203) 287-1309  |  Direct :(203) 872-2570  | cgibbons@simione.com

www.simione.com

http://www.simione.com/sign/simione_sign_logo.jpg


http://www.simione.com/sign/simione_financial_sign.jpg

http://www.simione.com/sign/elearning_center_sign.jpg

 

 


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CONFIDENTIALITY NOTICE: This message (including any attachments) may contain confidential client information. The information is intended only for the use of the individual or entity to whom it is addressed. If you're not the addressee or the employee or agent responsible to deliver this e-mail to its intended recipient, you are hereby notified that any review, use, dissemination, distribution, disclosure, copying or taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication in error, please notify the sender immediately, delete this message from your computer and ask your network administrator to delete it from any storage or back up files.