This has happened to us before, I am pretty sure Medicare will deny your claim that ends on 10/16/19 as the patient switched to Blue Plus MSHO as of 10/01/19. I think you will only be able to bill Medicare through
9/30/19. And I believe you will need a new Start Of Care OASIS for the Blue Plus MSHO, you might need the 10/18 visit to be your new SOC.
If I am wrong someone can correct me.
Marnie
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Salin, Tracy
Sent: Thursday, October 31, 2019 9:28 AM
To: billers@list.mnhomecare.org
Subject: rap bill with new payer
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OK I have a question. I have client who I found out today changed from medicare to blue cross MSHO effective 10/1. I have a claim billed to medicare through 10/16. I have my recert RAP starting 10/17 set to bill to blue cross as an episode.
My question is my first visit for this is 10/18 not 10/17. Has anyone done this before and if so how? I am also waiting for my claim through 10/16 to process with Medicare as I had billed it out 10/21. Once that pays I will figure out what to do with 10/1-10/16
visits.
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
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