I am having the same problem.  What our medical records department said from their denial training is that is a tactic payers are using to not pay claims.  Stupid thing is that they end up adding interest when they do pay.  I have to call on all of the claims and TELL them to reprocess.  It is their problem and I shouldn't have to do an appeal.  Happens every year.  Usually it is June claims that deny.  They started a month early this year.  

Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org

218-281-9240

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Sara Sundberg <sara@gnhomecare.com>
Sent: Tuesday, June 14, 2022 6:14 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Medica Denials

 

Hello,

Is anyone else having issues with Medica, MSHO specifically? Starting with dates of service in May, I am getting about half of my claims denied. The code is M127: Missing patient medical record for this service. Most of them are SNV, but a few HHAV. I have verified eligibility and ID numbers. 

--

Sara Sundberg

CFO

Good Neighbor Home Health Care

218-829-9238

www.gnhomecare.com

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