I didn’t know of this dummy code…. hmmm

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kori Meyer
Sent: Thursday, January 23, 2020 9:13 AM
To: billers@list.mnhomecare.org
Subject: RE: PDGM HMO payers

I wonder if using Medicare’s dummy/placeholder TAC of 11AA11AA11AAAAAAAA would work?

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: Subscription Mail: RE: PDGM HMO payers

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