I just started seeing an issue. Our auths are for non-bundled and we were not having any issues getting paid. As of processing date around 10.14.2021 all are claims are marked as PAID but the reimbursement rate is $0.00 for all services.
I have chatted with several representatives during the last few days and have been getting a lot of different answers. One person told me that the rates are not loaded in to their system. I actually called yesterday and got someone who could see what I was
talking about. She moved this issue to a lead.
Kelly Rader
Billing Specialist
Hennepin Home Health Care
763-425-5959 ex 44
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Thursday, October 21, 2021 12:21 PM
To: billers@list.mnhomecare.org
Subject: RE: Optum
Hello,
Recently, Optum has been denying my non-bundled claims entirely. I have reached out to them using the live chat option on the Optum website. I noticed it all depends on who you get, some of the people do not understand the billing rules
and have tried to tell me that my type of bill is wrong. Yesterday, I just had to tell the person I was chatting with, that I had to go and would try back later. Then I tried again and got someone who understood and was sending my claims back to be processed
correctly.
I don’t understand why all of a sudden there are issues, things were going pretty good.
Marnie
Lakewood Health System Home Care & Hospice
218 894 8324
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Kaitlin Johnson
Sent: Thursday, October 21, 2021 12:15 PM
To: billers@list.mnhomecare.org
Subject: Optum
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**External Sender**
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Hello Everyone!
Optum VA is suddenly paying my non-bundled claims as bundled episodes, I have call 2 people at Optum and they are both telling me that it's paid correctly but this doesn't seem right to me.
There are no HIPPS codes on the claims and claims are sent as non-bundled. Authorizations are also non-bundled.
Wondering if this has happened with any of your claims?
--
Kaitlin Johnson, RN
Lake Region Home Health
(320) 354-5858
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