Optum is PDGM. I am not clear on whether for both skilled and non skilled or just skilled. I am finding out Triwest was supposed to be skilled only. IDK. They
can’t figure it out.
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hespe, Linda J
Sent: Monday, February 17, 2020 2:28 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
Another thing I am wondering- if anyone knows- is that VA changing to Optum will be for both Skilled and Unskilled I understand. Does anyone know how the claims will be under
Optum? Per visit, PPS or PDGM and if PPS or PDGM, will that include the unskilled in the same episode payment?
Always something!
Linda
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Monday, February 17, 2020 1:12 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Switch to Optum
WARNING: This email originated outside of Essentia Health. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe.
We have not made any decisions yet. We have recently noticed the drastic cut in reimbursement from the VA as well. When I look at the Fee Schedule on the Optum
website, the rates match the decrease we have begun to see from the VA. So I am a little confused. Are these VA rates on the Fee Schedule or the Optum rates, or are they the same rates for both VA & Optum?
Marnie
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Cates, Shay
Sent: Monday, February 17, 2020 1:08 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
|
**External Sender**
|
Can anyone tell me what you as a Homecare Agency is planning to do about the decrease in VA payments? We are looking at maybe no longer taking VA patients
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Cates, Shay
Sent: Monday, February 17, 2020 12:18 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
Can anyone tell me what you as a Homecare agency is planning to do about this decrease in VA payments? We are looking at maybe no longer taking VA patients
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jessica Demarais
Sent: Thursday, February 13, 2020 4:04 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
In the Optum/VA portal, the fee schedule is under the tab for documents and links
https://provider.vacommunitycare.com/tpa-ap-web/?navDeepDive=VACCN%20publicDocumentsLinksMenu
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Melissa K. Austreng
Sent: Thursday, February 13, 2020 4:01 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
Yes, we are getting paid drastically less as well! However, when I call the VA they don’t seem to know much. Where did you see the fee schedule from Optum as I can’t find that?
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hespe, Linda J
Sent: Thursday, February 13, 2020 3:51 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
Has anyone experience the drastic pay cut on the aide/homemaking with VA since Oct 1st? I see the Optum fee schedule on that website is very poor also, but I heard
that the VA was taking money back retro to Oct 1st if they had paid you at the higher rate from their previous fiscal year.
Linda Hespe
Director
Essentia Health Home Care and Hospice West
114 Frazee St. East | Detroit Lakes, MN 56501
P: 218-314-7806| F: 218-847-0850
Linda.Hespe@EssentiaHealth.org |
www.essentiahealth.org
This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you
are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you
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From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Melissa K. Austreng
Sent: Thursday, February 13, 2020 3:43 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
WARNING: This email originated outside of Essentia Health. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe.
You are welcome!
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Thursday, February 13, 2020 3:41 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Switch to Optum
Awesome, thank you.
J
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Melissa K. Austreng
Sent: Thursday, February 13, 2020 3:41 PM
To: billers@list.mnhomecare.org
Subject: RE: Switch to Optum
|
**External Sender**
|
I just called on this today and it is all disciplines😊
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Thursday, February 13, 2020 3:39 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Switch to Optum
With Tri West, only the Skilled visits were billed, the HHA and HMKR still went to the VA. Does anyone know if all visits will be going to Optum or just the
Skilled visits?
Thank you,
Marnie
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Karen Peterson
Sent: Thursday, February 13, 2020 8:41 AM
To: billers@list.mnhomecare.org
Subject: Switch to Optum
|
**External Sender**
|
Good morning all – well, according to the website, next Wednesday, 2/19, is the official “switch to Optum” day in Minnesota for VA claims. Are you ready? I’m hearing varied
responses as I chat with members around the state.
I wanted to be sure you know about this website:
I suspect you do, but on the off chance that some might not have seen it, I thought I’d share.
Please report in as you make the switch to let us know how it’s going -
Thanks, and good luck!
Karen Peterson
Regulatory Affairs and Advocacy Manager
Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.659.1457 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
Mission:
MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision:
MHCA will shape the home care landscape to improve and sustain quality home care services.
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