I have been billing Triwest for VA since April 1st. It goes OK as long as VA follows through on authorizations. FYI
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tuma, Darlene
Sent: Wednesday, July 24, 2019 11:54 AM
To: billers@list.mnhomecare.org
Subject: RE: VA MPLS - Triwest (Guardian Angels)
we are not billing triwest as of yet. It is official in September but recommended we all set on board before then
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Salin, Tracy
Sent: Wednesday, July 24, 2019 11:33 AM
To: billers@list.mnhomecare.org
Subject: RE: VA MPLS - Triwest (Guardian Angels)
Thank you. This is how it was explained to me. However why did Sheri contradict this? I am just trying to clarify all of this confusion.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tina Tomberlin
Sent: Wednesday, July 24, 2019 11:30 AM
To: billers@list.mnhomecare.org
Subject: RE: VA MPLS - Triwest (Guardian Angels)
The Medicare qualifying criteria does not apply to the veteran services paid by TriWest.
Home bound and skilled need are not requirements of VA funded RN visits paid by TriWest. SNV are being authorized by VA community care nurses who are fully aware of the veterans’ HB status and their needs, not
to mention VA has always paid for RN med sets and other tasks that Medicare does not cover.
TriWest is the ONLY available means to get paid for SNV/PT/OT, which are prior approved, and therefore TriWest has no discretion to determine whether client is in “need” of the service or not. They are simply
a middle man who processes claims, against the authorization.
Tina Tomberlin
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Julie Embry
Sent: Wednesday, July 24, 2019 11:10 AM
To: billers@list.mnhomecare.org
Subject: FW: VA MPLS - Triwest (Guardian Angels)
Response below from MPLS VA auth division..
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: Lechner, Sheri <Sheri.Lechner@va.gov>
Sent: Wednesday, July 24, 2019 9:29 AM
To: Draper, Krystee R. <Krystee.Draper@va.gov>; Palmer, Kimberly L. <Kimberly.Palmer@va.gov>
Cc: Julie Embry <jembry@gaehc.org>
Subject: RE: VA MPLS - Triwest (Guardian Angels)
Hi Julie,
Your statement below is correct.
Thank you,
Sheri Lechner, MSN, MBA, HCM
ANM Community Care
Minneapolis VAHCS
1 Veterans Drive
Minneapolis, MN 55417
612-725-8042
From: Julie Embry <jembry@gaehc.org>
Sent: Wednesday, July 24, 2019 8:05 AM
To: billers@list.mnhomecare.org; Draper, Krystee R. <Krystee.Draper@va.gov>
Subject: [EXTERNAL] 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
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