I bill BCBS, they don't pay saying the patient hasn't met deductible.
I then send that amount to self pay and send the guarantor a bill.  

The client should also probably already know about it and have received their EOB.  I have actually had clients call me thinking their EOB is a bill from us asking where to send the payment.  Few but it does happen.  

Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org
218-281-9240

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Jenifer Baker <jbaker@firstatmn.com>
Sent: Thursday, March 24, 2022 11:09 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Re: Deductible question
 
We have a BCBS client that has not met a deductible yet, and I know from history of the agency I do not recall anyone billing a patient directly. As I am now overseeing this area, just trying to get an idea of how I might go about this if I am needing to do so? 

On Thu, Mar 24, 2022 at 10:46 AM Cindy Erkel <cerkel@mymrci.org> wrote:

Jenifer –

 

We bill for CDCS, PCA and 245D services and all of them have potential spenddown or waiver obligations for our clients.  We currently bill 53 clients for these monthly.  How can I help?

 

Cindy

 

Cindy Erkel

Accounting Coordinator

MRCI

D: 507-386-5708 | T: 800-829-7110 | F: 888-800-7336

cerkel@mymrci.org

 

 

 

 

 

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jenifer Baker
Sent: Thursday, March 24, 2022 10:28 AM
To: billers@list.mnhomecare.org
Subject: Deductible question

 

This message was sent from outside of the organization. Please do not click links or open attachments unless you recognize the source of this email and know the content is safe.

 

Do any home care agencies collect a deductible on their clients. I feel this is something I should know, but I have never been told how this works in home care? 

If you do, I have additional questions ;) 

 

--

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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--
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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