We also have not received any answers from the payors regarding PDGM. Around 3 weeks ago our CEO told me that the insurance companies are still not sure of their exact direction for 2020. I was at a UHC Provider Expo last week and I didn’t hear a word about PDGM in any of the sessions I attended.

 

Be Compassionate. Be Accountable. Be Respectful. Be Excellent!

 

Jennifer Larsen

Claims Specialist

Guardian Angels Elim Home Care and Hospice

403 Main Street, Elk River, MN 55330

Main 763-241-0654

Direct 763-452-4101

Email jlarsen@gaehc.org

www.gaehomecarehospice.org

logo burgandy web small

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kori Meyer
Sent: Thursday, September 19, 2019 9:46 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: Medicare Advantage payers and PDGM

 

Has anyone seen anything from any of the Medicare Advantage payers regarding a decision to adopt PDGM? Or not adopt?

 

Our software is not going to support PPS HIPPS code OASIS D assessments once OASIS D1 PDGM HIPPS codes are implemented unless we can point to specific payers that will still require PPS HIPPS codes after 010120. I have not had any luck contacting individual payers (BCBS MSHO, Humana, Aetna, UnitedHealthcare), and am wondering if anyone else has had better luck and gotten some specific answers?

 

Thanks in advance!

 

Kori Meyer

Biller | Pathways to Achievement, Inc

114 S 20th Ave W Suite A | Duluth  MN  55806

218.623.7106 | Fax 218.491.7185

 


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