From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jenifer Baker
Sent: Thursday, March 17, 2022 10:32 AM
To: billers@list.mnhomecare.org
Subject: Re: Blue Plus Dual coverage

Goodness, what a headache. Yes I'm having a lot of challenges with BCBS and thought maybe I was just setting the payer up wrong or not billing appropriately? I'm just kind of at a loss of how to set these folks up

To expand on Marnie, ALL medicaid and Medicaid replacement plans are billed per visit not bundled billing. You would not show hipps code or bill NOA. We have our dual plan payers set up two ways in our system so we can just change payer when it goes from the medicare side to the Medicaid side or vice versa. 

 

I am currently having an incredibly difficult time getting my blue plus msho claims to process to pay. I was just in  meeting between Fairview and Blue Cross. They are still reviewing this issue. They seemed to think it came about from a system update done 9/15/21 however I clarified my claims have been denying since February of 2021. So if anyone else is continuing to have this issue, reach out on here please.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Marnie Pogreba
Sent: Thursday, March 17, 2022 10:23 AM
To: billers@list.mnhomecare.org
Subject: RE: Blue Plus Dual coverage

 

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Here is how I bill:

Blue Plus MSHO (Medicaid portion) No NOA

Blue Plus MSHO (Medicare portion) Yes, bill NOA.

 

 

Marnie

Lakewood Health System Home Care & Hospice

Phone: 218 894 8324

Email: marniepogreba@lakewoodhealthsystem.com

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jenifer Baker
Sent: Thursday, March 17, 2022 10:13 AM
To: billers@list.mnhomecare.org
Subject: Blue Plus Dual coverage

 

**External Sender**

 

I'm wondering if any of your clients that have Blue Plus with MN MSHO Dual and elderly waiver eligible folks get billed as a no pay RAP? Or do you bill yours through Blue Plus managed care? 

 

I always get a little confused when a person is Medicare eligible, but has a managed care plan and is also on Medicaid? ... goodness. 

 

Thanks!

 

--

Jenifer Baker, OTR, PTA, COS-C

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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