I bill them out through nightingale notes to MN DHS (Payer ID DPWMN), depending on what software you use, you should be able to bill it directly from there with the auth number and correct claim template to your clearinghouse
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Jenifer Baker <jbaker@firstatmn.com> Sent: Wednesday, September 29, 2021 3:12 PM To: billers@list.mnhomecare.org <billers@list.mnhomecare.org> Subject: [EXTERNAL] billing waivered services
Wondering if anyone has or does bill a waiver directly? I have never heard of this but I'll give you the scenario I was approached with:
Case Manager calls with referral for a client that has Medica (we are not in network with Medica) and we declined
CM calls back stating that they want us to bill the AC waiver directly, that 'it doesn't go through Medica.'
I have never billed an AC waiver directly for services and CM stated that no this doesn't get billed through MA either?
Since my understanding of waivers and things are sub par, thought I would ask this wonderful group!! Thanks
Is this CM looking for another type of home care provider maybe?
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Jenifer Baker, OTR, PTA
Agency Director
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN 55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214
Our Mission is to Provide Comprehensive, Compassionate, Family
Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.
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