What a mess!!

 

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 Marnie Pogreba
Sent: Monday, September 23, 2019 4:12 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA

 

Some of our Tri West authorizations have ended and the patient is back to VA for SN and Therapy.  And yes, most of our patients are with the St Cloud VA.  While they were under Tri West, we bill the RAP 322 and the Final 329.

 

The St Cloud VA has just added the PT visits to the SN authorization on our patient so the two disciplines are billed together.

 

J

 

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Kelly Rader
Sent: Monday, September 23, 2019 3:56 PM
To: 'billers@list.mnhomecare.org'
Subject: RE: VA

 

LAKEWOOD HEALTH SYSTEM SECURITY NOTICE:
This email originated from an external sender.  Ensure you know the sender before clicking on any links or attachments.

Marnie, aren’t you billing SNV and Therapy to Triwest?  Or are these St. Cloud clients?  If billing Triwest the type of bill needs to be 322 (RAP) and 329 (FINAL).

 

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 Marnie Pogreba
Sent: Monday, September 23, 2019 3:37 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA

 

Yes 323 for all claims (HMKR, HHA, SN, Respite and Therapy).

 

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Melissa K. Austreng
Sent: Monday, September 23, 2019 3:23 PM
To: billers@list.mnhomecare.org
Subject: RE: VA

 

LAKEWOOD HEALTH SYSTEM SECURITY NOTICE:
This email originated from an external sender.  Ensure you know the sender before clicking on any links or attachments.

Thank you. And to clarify this is for all claims(HMK, HHA, and SN)?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kayla Kovar
Sent: Monday, September 23, 2019 3:23 PM
To: billers@list.mnhomecare.org
Subject: RE: VA

 

Melissa, I did call the help desk and they were truly denying, I was using 322 and 329.  They couldn’t tell me “how to bill”, but stated a lot of claims she sees are using 323 so I guess I will go with that and cross my fingers.  Thank you for all the responses!!

 

 

Kayla

 

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Salin, Tracy
Sent: Monday, September 23, 2019 3:04 PM
To: billers@list.mnhomecare.org
Subject: RE: VA

 

I get pd for 323 bill types

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Melissa K. Austreng
Sent: Monday, September 23, 2019 2:59 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA

 

Have you been paid for TOB 323?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Marnie Pogreba
Sent: Monday, September 23, 2019 2:46 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA

 

Recently I have had new patients whose claims I bill as a 322 and even a discharged patient that I billed as a 324 deny for TOB.  So I had to resubmitted them as a 323.

 

Marnie

 

 

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Melissa K. Austreng
Sent: Monday, September 23, 2019 2:42 PM
To: billers@list.mnhomecare.org
Subject: RE: VA

 

LAKEWOOD HEALTH SYSTEM SECURITY NOTICE:
This email originated from an external sender.  Ensure you know the sender before clicking on any links or attachments.

Hello, have you called the community care center to find out if the claim really should have been denied? I have had many claims denied and found that when I have called the person helping me will attach notes to the claim and let the processors know to review the claim again because the claim should have been paid and not denied.

 

I personally saw this as a denial on some of mine as well but have not called yet. I am going to try to do that this week to see if they have an answer for me. I use TOB: 329.

 

Melissa Austreng

Home Care and Housing Biller

 

Assumption Community

715 1st Street North

Cold Spring, MN 56320

 

Phone: 320.348.2358

Email: austreng.melissa@assumptionhome.com

Web: www.assumptioncommunity.com

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kayla Kovar
Sent: Monday, September 23, 2019 2:39 PM
To: billers@list.mnhomecare.org
Subject: VA

 

Hello,

 

 

Is anyone else having trouble getting paid from regular VA, not Tri-west, claims?  All of the sudden I’ve been getting denied for my Type of bill (TOB) being incorrect after how many years of billing the same way.  What TOB do you use for your Home Health Aide/Respite claims?  Thank you.

 

 

 

Kayla Kovar

312 N Tower Rd

Fergus Falls, MN 56537

newdimensionshhc.com

(P) 218-739-5856

(F) 218-736-6330

 

This message (including any attachments) may contain confidential information. 
The information is intended only for the use of the individual or entity to which
it is addressed.  If you are 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 us immediately by return email
and destroy all copies of this communication, including all attachments.

This message (including any attachments) may contain confidential information. 
The information is intended only for the use of the individual or entity to which
it is addressed.  If you are 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 us immediately by return email
and destroy all copies of this communication, including all attachments.

This message (including any attachments) may contain confidential information. 
The information is intended only for the use of the individual or entity to which
it is addressed.  If you are 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 us immediately by return email
and destroy all copies of this communication, including all attachments.