No they don’t. I have never billed pdgm to Medicaid for any advantage plan. But am I supposed to now?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, November 19, 2021 11:20 AM
To: billers@list.mnhomecare.org
Subject: Re: blue plus medicaid claims

 


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But medicaid follows medicare guidelines, correct?  I would think you bill them out the same way.  I could be wrong.  

 

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

 

 


From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Salin, Tracy M <Tracy.Salin@fairview.org>
Sent: Friday, November 19, 2021 11:18 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: blue plus medicaid claims

 

Right but I am not billing medicare qualified claims. I am billing Medicaid qualified claims.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, November 19, 2021 11:15 AM
To: billers@list.mnhomecare.org
Subject: Re: blue plus medicaid claims

 


*** [EXTERNAL] This message comes from an external organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. ***


 

 

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

 

 


From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Salin, Tracy M <Tracy.Salin@fairview.org>
Sent: Friday, November 19, 2021 10:56 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: blue plus medicaid claims

 

The non medicare ones too?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, November 19, 2021 10:47 AM
To: billers@list.mnhomecare.org
Subject: Re: blue plus medicaid claims

 


*** [EXTERNAL] This message comes from an external organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. ***


Are you billing them PDGM?  That started July 1.

Mine are paying just fine.

 

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

 

 


From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Mary Hanson <mhanson@rvhci.com>
Sent: Wednesday, November 17, 2021 12:38 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: blue plus medicaid claims

 

I have been having the same problem.  Everything was fine until mid-July.  They take forever to process and now started denying.  I called and they are in the process of reprocessing the claims so I don't know yet if they are going to pay or not.

 

Very frustrating; especially when I haven’t changed anything in how I bill them.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Salin, Tracy M
Sent: Wednesday, November 17, 2021 12:07 PM
To: billers@list.mnhomecare.org
Subject: blue plus medicaid claims

 

Hey I am having all my claims deny for my blue plus msho clients when I bill the Medicaid side. I bill t codes to payer id 00562. Every one of my msho client claims deny. I call, they reprocess and pay them. I cannot figure out why this continues to happen.  I have aske for help in resolving this issue that has been occurring for this entire year but blue plus is not responsive at all.

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