Yep, and that is super weird to me.  They’ve never given us that guidance as far as I know.  We have determined the 333 is no longer a valid bill type, however, so 323 is correct, or at least should be unless VA truly said we need to use the 34x

 

I’m still waiting on a response for the Optum claims.  VA has never rejected our claims with our bill types.

 

 

Jess – did you see the one agency bills VA with a 34x vs 32x..?  I think we were reading to submit type 333…

 

 

 

We have the same struggles with VA claims.  I called them last week because many claims are denying for auth being absent,  but the auth number is right there on the claim, in the appropriate authorization box number.  We are also getting a lot of rejections for EDI reroute because somehow the claims are being routed to the wrong VA.  When I called VA, they explained that they have implemented a new auto claims processing system that could be causing all these rejections/denials.  I’m finding that I have to submit claims at least 3 times before they get processed.  It is very problematic, but there does not seem to be a good solution at this time.  Sometimes it takes 6 months to get claims paid.  It’s definitely concerning.

 

I wish I had better information, but I was basically asked to keep submitting the claims, and to continue to be patient with them. 

 

 

We are having issues with our billing department being able to process VA claims.  Any insight as far as billing (I understand we are supposed to follow MCR PDGM rules for TriWest and Optum) but claims are still rejecting.  I’m clinical so a little foreign to me, just trying to help our biller out.  Thank you, any cheat sheets would be appreciated!

 

 

 

Summer Stahl RN BSN

UHD Home Health & Hospice

507-526-7970 (office)

507-526-3285 (fax)

 

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