These contract specialists need to start getting more involved when this happens. I think they know who at these companies to talk to when this happens.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Amanda Dahl
Sent: Friday, December 06, 2019 2:51 PM
To: billers@list.mnhomecare.org
Subject: RE: united health pps billing
We too have only gotten paid on the FC and just like Jennifer said, the payment amount is what we should get on the RAP.
Amanda Szumowski Dahl
Community Health Director
Hearthstone Home Care
Office: 218-625-2307
Cell: 218-269-5080
Fax: 218-279-4412
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jennifer Larsen
Sent: Friday, December 6, 2019 9:47 AM
To: billers@list.mnhomecare.org
Subject: RE: united health pps billing
I went to UHC’s provider expo to ask a lot of questions and of course attend seminars.
😊 My main goal was to figure out what they wanted from providers since our Contract Manager was not responding. I didn’t receive answers that day and I think I spoke to everyone but the President
of the company. Since than what we feel it boils down to is they want the RAP but will only pay on the final, however their reimbursement is so
horrible that they basically will pay about 50% of the charges. Pulling teeth would probably be easier than getting a full direct answer from someone at UHC. They have been paying on our FC and the payment is equivalent to the amount of what we should
get on the RAP.
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
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy
Sent: Friday, December 6, 2019 9:14 AM
To: billers@list.mnhomecare.org
Subject: RE: united health pps billing
This isn’t a lupa. Yes always a struggle
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Mary Jonason
Sent: Friday, December 06, 2019 9:11 AM
To: billers@list.mnhomecare.org
Subject: RE: united health pps billing
The only time I have had that happen was on a LUPA episode. It is always such a struggle isn’t it?
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy
Sent: Friday, December 6, 2019 9:04 AM
To: billers@list.mnhomecare.org
Subject: united health pps billing
Does anyone have issues billing pps claims to United Heath? My RAP paid but claim did not. They pd it as zero payment. I had it reconsidered and they came back as it is pd correct.
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
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