If I could get rid of ONE insurance, it would be Humana.  

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 Melissa K. Austreng <austreng.melissa@assumptionhome.com>
Sent: Monday, April 26, 2021 9:38 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: Humana help
 

Humana told me to bill on a 1500 claim form and gave me instructions on how to bill. I followed their guidelines got paid and they took it back. When I asked why they now said they wanted it submitted on UB 04, didn’t get paid so I feel like no matter what you do you might not get paid.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Salin, Tracy M
Sent: Monday, April 26, 2021 9:33 AM
To: billers@list.mnhomecare.org
Subject: RE: Humana help

 

I think they want HIPPS code on claim even though its per visit. We are having trouble with them also but not sure how.

 

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 Mortenson,Crisa
Sent: Monday, April 26, 2021 9:30 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: Humana help

 

We rarely have Humana replacement claims and I am struggling to get some skilled nursing and PT/OT claims paid.  The first time I sent out the claims they denied for type of bill, evidently got that fixed because now they're erroring for place of service.

I'm trying to bill fee for service, not pdgm.  I'm using G codes.  We use nightingale notes and I have the claim template set up as institutional with admission date and auth required.

 

Anyone that can help me?  

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Emailcrisa.mortenson@khmc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

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