Well the biggest problem we have is payment for VA claims.  It takes up to 6 months or more to get paid on claims.  They deny for no auth/auth exceeded, but neither are the case.  Auth is always in place, and on the claims.    Then when we attempt to call and find out why the claim denies for no auth/auth exceeded, the claims reps cannot even view the claims, and can only see the reason for denial.  They have an automated claims processing system, but no reps with access to view the actual claims it seems.  It takes submitting each claim up to about 6 times before it gets processed for payment.    It’s been a very big challenge.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Peterson
Sent: Thursday, August 20, 2020 1:10 PM
To: billers@list.mnhomecare.org
Subject: VA Coverage

 

Hey all, QUICK, I have a call with a legislative aide at 2:00 who wants an update on VA clients – both payment issues (which my understanding are much less now that Optum has begun after the nightmare that was TriWest), and also how COVID is hitting veterans.

 

Anything that you can share will help me out!

 

Thanks so much -

 

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

www.mnhomecare.org | kpeterson@mnhomecare.org

 

 

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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