At least we have this
Darlene Tuma, RN, PHN
Adult Health Supervisor
Le Sueur County Public Health
88 South Park Ave
Le Center, MN 56057
507-357-8249
Fax: 507-357-4223
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Tuesday, May 5, 2020 11:55 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: VA
We have been struggling with getting Optum to register our home care. Until then, the VA has been sending us authorizations to continue to bill the VA as we have been. The VA was denying my claims that were
not dropping with TOB 323. As long as I make sure my TOB is 323 they have been paying them. I have also noticed for us, our claims are processing quicker than they were in the past.
We put the authorization number in box 63.
Marnie
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Julie Embry
Sent: Tuesday, May 05, 2020 11:30 AM
To: billers@list.mnhomecare.org
Subject: RE: VA
|
**External Sender**
|
Jess – did you see the one agency bills VA with a 34x vs 32x..? I think we were reading to submit type 333…
Julie Embry
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jessica Demarais
Sent: Tuesday, May 5, 2020 10:30 AM
To: billers@list.mnhomecare.org
Subject: RE: VA
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.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Summer Stahl
Sent: Tuesday, May 5, 2020 10:19 AM
To: billers@list.mnhomecare.org
Subject: VA
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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