How are these veterans with only a med setup and no significant other needs getting an oasis driven pps episode that gives agencies adequate reimbursement?

Can anyone shed some light on that?

 

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Annetta Smith, LPN

Billing Specialist

(M)1-651-442-0228

(O)1-651-388-2223

(F)1-651-388-2227

www.hiawathahomecare.com

 

hiawatha_homecare 40%

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kelly Rader
Sent: Wednesday, July 24, 2019 9:14 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA MPLS - Triwest

 

All nursing and Therapy visits need to get authorized by VA and billed to Triwest.   Once VA does the authorization they upload the information to Triwest and then Triwest will generate out an auth with a specific authorization number.  Per Triwest memos the veterans do not need to meet the requirements for Medicare (skilled, homebound, etc).

 

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 Tuma, Darlene
Sent: Wednesday, July 24, 2019 8:55 AM
To: billers@list.mnhomecare.org; krystee.draper@va.gov
Subject: RE: VA MPLS - Triwest

 

my understanding is that VA will send info to Triwest for Triwest to assume the skilled nursing piece. Aide and HMK stay with VA. We have not seen this yet as our “approval” with Triwest is not official

 

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Julie Embry
Sent: Wednesday, July 24, 2019 8:05 AM
To: billers@list.mnhomecare.org; krystee.draper@va.gov
Subject: VA MPLS - Triwest

 

Anyone hear from VA MPLS if you are suppose to bill TRIWEST for skilled need only?  Basically if they qualify for Medicare, they qualify for Triwest?

 

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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