I was told UCARE IS NOT transitioning to the PDGM model because we bill them visits. I had heard there was a miscommunication between nursing home billing and home care billing.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Kori Meyer
Sent: Wednesday, February 05, 2020 10:07 AM
To: billers@list.mnhomecare.org
Subject: RE: U Care changes as of 1/1/2020
We have had issues getting UCare to even accept our PDGM UCare Medicare claims for processing. First it was because of the change to the electronic payer ID for the plan, now its something with
the admission hour – or at least that’s what code its giving, but I wouldn’t be surprised if it was some other underlying issue that triggered that code. We’ll see.
I would love to hear that someone else has successfully billed and been paid for PDGM UCare Medicare claims – need some light at the end of the tunnel over here!
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Troumbly, Katie J
Sent: Wednesday, February 5, 2020 10:01 AM
To: billers@list.mnhomecare.org
Cc: Jackson, Kimberly L <kjacks10@fairview.org>; Calger, Penny <pcalger1@Fairview.org>; Drewlo, Bekki L <BDREWLO1@Fairview.org>
Subject: RE: U Care changes as of 1/1/2020
Good question, Karen. Also, it’s nice to “hear” from you! I would assume that they would transition to PDGM like Medicare is doing at the recert rather than a new SOC, but I don’t know and I’m curious what other agencies are doing. Have
you reached out to UCare to inquire?
Thanks for posting,
Katie
Katie Troumbly,
BSN, RN, PHN, CNML
| Home Care Manager
Grand Itasca Clinic & Hospital part of Fairview Health Services
Grand Itasca Professional Building | 111 SE 3rd Street | Grand Rapids, MN 55744
ktroumb1@fairview.org
| www.granditasca.org
Office: 218-999-1047 | Cell: 218-259-1383
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Leutner, Karen
Sent: Wednesday, February 05, 2020 9:51 AM
To: billers@list.mnhomecare.org
Subject: U Care changes as of 1/1/2020
Good morning,
With the UCare’s change outlined below, have you performed new SOCs for the UCare patients who were on service 1/1/2020 and continued into the new year? And if not, are you having any issues with payment?
Thank you,
Karen
Karen Leutner
PT • Manager Quality and Compliance
Allina Health Home Health
Phone • 612-262-3474
• Pager 612-654-0540 • Cell 952 807-4922
Mail Route 34100 • 1055 Westgate Drive Suite 100 • St. Paul, MN 55114-1451
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