For BCBS Medicare Advantage, ours are paying and seem to be correct $ for the most part. I was told to continue to submit RAPs for them, they don’t want NOAs.
Alicia Schmidt
Accounts Receivable Lead
2715 Hwy 29 S Ste 103, Alexandria, MN, 56308
Office: 320-759-3340 | Fax: 320-759-1275
knutenelson.org | Nonprofit Senior Lifestyle Provider
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Karen Gorecki
Sent: Thursday, March 17, 2022 10:44 AM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALRE: Blue Plus Dual coverage
|
External Email |
Got my first Blues PDGM Advantage paid even though on remit the NOA processed with saying it was incorrect TOB. But $ paid don’t match what my billing software or calculator say should be paid…….
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Thursday, March 17, 2022 10:40 AM
To: billers@list.mnhomecare.org
Subject: EXTERNALRE: Blue Plus Dual coverage
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
I was having issues with the Blue Plus MSHO (Medicare) NOA, not getting accepted. They were getting rejected for a Demonstration Project ID #. That issue has since been resolved and I was told Blue Plus was going to reprocess those NOA’s.
I wasn’t sure how that would work since I couldn’t even get them accepted in the first place, so I ended up sending them again when I was told the issue was resolved. I just looked at my EOB’s for a patient and I see the NOA processed twice.
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy M
Sent: Thursday, March 17, 2022 10:35 AM
To: billers@list.mnhomecare.org
Subject: RE: Blue Plus Dual coverage
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**External Sender**
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If I can get answers from Blue Cross, I will share them
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
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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
On Thu, Mar 17, 2022 at 10:27 AM Salin, Tracy M <Tracy.Salin@fairview.org>
wrote:
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
*** [EXTERNAL] This message comes from an external organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. ***
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 55109Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214
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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,
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