My experience with BCBS Advantage, is yes, they do bill episodically.  And, yes, I have to get an authorization from them through evicore.   You can send a RAP but it is not required, you can just bill the Final every 30 days. 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Brittany Schwecke
Sent: Friday, October 09, 2020 10:15 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: BCBS Medicare Advantage Billing

 

**External Sender**

 

Good Morning,

 

Are BCBS Medicare Advantage plans following PDGM and billing episodically? I thought this was the case, but we received the approved service authorization from Evicore and they services are approved in visits and over a 4 month time span. Now I am confused and second guessing myself. If anyone has experience with this please reach out.

 

Thank you!

 

Brittany Schwecke                                  

Accountant

 

Renville County Public Health Services

105 South 5th Street, Suite #119H

Olivia, MN 56277         

 

Direct: 320-523-3721

Public Health : 320-523-2570

Email : brittanys@renvillecountymn.com

Web : www.renvillecountymn.com

 

 

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