Here is what I heard back from our person at BCBS.  Hopefully I will get something concrete.

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Tuesday, December 22, 2020 1:52 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

**External Sender**

 

That is a good idea. I talked to Cindy earlier today but didn’t get her last name or title.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Peterson
Sent: Tuesday, December 22, 2020 1:47 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

This is a great discussion – one thought ….  Start recording the details of each call (if you aren’t already) – date and time, name and title of person you talk to. That gives more weight when we go back to them and point out the inconsistencies!

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Hanson,April
Sent: Tuesday, December 22, 2020 1:45 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

Or when they hang up on you. I have had that happen too after being on hold! Hopefully we will get a solid answer from one of them!

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Marnie Pogreba
Sent: Tuesday, December 22, 2020 1:17 PM
To: billers@list.mnhomecare.org
Subject: [EXTERNAL] RE: 2021 plan

 

I reached out to our BCBS facility rep once again and let her know about these two phone calls and asked her if she could get back to me with any information. 

 

I will keep you posted.

 

It does not help when you call BCBS Medicare Advantage and the connection is so bad that it sounds like the representative is talking under water.  I don’t know if you all have that experience.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Tuesday, December 22, 2020 1:10 PM
To: billers@list.mnhomecare.org
Subject: Re: 2021 plan

 

**External Sender**

 

Gosh - Nothing like solid information... hahahaha

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@khmc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Karen Gorecki <karengorecki@gsc-mn.org>
Sent: Tuesday, December 22, 2020 1:08 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: 2021 plan

 

OMG

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Marnie Pogreba
Sent: Tuesday, December 22, 2020 1:06 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

Oh my goodness, I don’t think BCBS representatives are not on the same page.  I decided to follow your lead and I called BCBS Medicare Advantage too.  I gave them the information on a current patient of ours.  I asked if a RAP claim would be required in the year 2021.  The lady I spoke to put me on hold and then came back and said that in the year 2021 a RAP would not be required.

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Tuesday, December 22, 2020 12:21 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

**External Sender**

 

I did just go ahead and call Blues. Had to give specific client before she would give any info. She said Blues(Adv) is following Medicare guidelines.

 

Asked her these specific questions:

 

RAP need to be submitted within 5 days YES.

Will pay at $0 YES.

Still need authorization thru EviCore YES.

 

Karen

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Marnie Pogreba
Sent: Tuesday, December 22, 2020 12:14 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

I have no plans of sending a RAP of any kind to BCBS unless I see something published on their website.  I do plan on calling them at the beginning of the year to see if anybody know what I am talking about.   It seems like when I call they have no clue what I am talking about.   I guess, I will see what comes of a phone call.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Salin, Tracy M
Sent: Tuesday, December 22, 2020 12:04 PM
To: billers@list.mnhomecare.org
Subject: RE: 2021 plan

 

**External Sender**

 

I know. I feel Like I am going to do one test RAP and see what happens. I hope to call them next week and see if they have any solid info.

 

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 Karen Gorecki
Sent: Tuesday, December 22, 2020 12:01 PM
To: billers@list.mnhomecare.org
Subject: 2021 plan

 

Hi-

 

What are you planning on doing for skilled Blues claims for 2021?  Like the Blues(MSHO) or Blues(Adv) plans. Going to send RAPs??  I know some said they have been told by Blues to not even submit RAPs. My billing software support says they haven’t heard of any other payers changing…..With this penalty thing hate to lose whole payment because RAP wasn’t sent….

 

 

Karen Gorecki | Outreach Accounts Receivable Coordinator

 

 

Ph: 320.258.9350 | Fax: 320.259.3463 | karengorecki@gsc-mn.org

1115 4th Ave North, Sauk Rapids, MN 56379 | goodshepherdcampus.org

 

 

 

 

 

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This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.