You should also have them sign an ABN.

 

I have attached the one from CMS.

 

Marnie

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Salin, Tracy M
Sent: Friday, July 08, 2022 8:01 AM
To: billers@list.mnhomecare.org
Subject: RE: Medicare and MA

 

**External Sender**

 

You bill MA only with an occurrence code 25 with first date not covered by medicare.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Becky Landman
Sent: Friday, July 8, 2022 6:59 AM
To: billers@list.mnhomecare.org
Subject: Medicare and MA

 


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

Good Morning Billers,

 

I currently have a patient who has Medicare and MA.  He doesn’t meet the criteria for Medicare as we are doing medication management and he isn’t homebound.

I have sent an NOA to Medicare, but wondering if I have to bill Medicare when we know it isn’t a covered service for them.  If we do have to bill, how do we do this when Medicare would be the 30 day episode and MA is billed monthly?

Under MA, he gets the 9 Skilled Nurse visits w/out authorization and once we reach that I will send in an authorization for more visits.  Is there any special way I have to bill MA?

 

Thanks for your help

 

Becky Landman

LifeCare Home Care & Hospice

715 Delmore Drive

Roseau, MN  56751

218-463-3211 Ext. 4173

 

 



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