Did TriWest go to PDGM for sure effective 1-1-2020?

Will Triwest change to UHC in February 2020 for Region 2 community care providers?  Has anyone received the information needed to bill?

Thanks

Lynette Rettig

Billing Supervisor

Ridgeview Home Health Services

501 S. Maple St STE 1

Waconia MN 55387

952-442-6030 Ext 35520

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kelly Rader
Sent: Thursday, January 23, 2020 9:07 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: PDGM HMO payers

 
*CAUTION - EXTERNAL EMAIL* This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. 
 

I was running into this, also. All my Oasis D1 show all zeros.  I have not tried to bill any Triwest claims as of 1.1.2020 episode start dates, yet.

I went on Medicare/PDGM website and found this for PDGM.

• A treatment authorization code (CLAIM KEY CODE) is no longer required on every HH claim.

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 Salin, Tracy M
Sent: Thursday, January 16, 2020 2:37 PM
To: billers@list.mnhomecare.org
Subject: ADV: PDGM HMO payers

For Blue Cross, Aetna, United Health, Triwest, when billing pdgm claims effective after 1/1/20, is anyone getting any through clean yet? My software replaced the treatment codes with all zeros. My Triwest won’t accept claims with or without the zeroes. IDK what they want. IDK if I am missing anything else? UGH…..

Tracy Salin

Billing Specialist

Fairview Range Home Care and Hospice