Hi – when I file a PA with Kepro, I send in the 485 and the med list (because most med lists are too long to type all the meds in!). We tend to get a fair amount of denials
(or so it feels like we do) but then if answer the questions/provide the information they are looking for – i.e - does the patient have family or friends that can assist them – they usually approve it. Occasionally I do send in the visit notes for supplemental
documentation on why visits are needed, but I always start with just the 485 and med list.
Let me know if you have any other questions.
Kristin DeBoer, RN
Director of Nursing
River Valley Home Care Inc
651-460-4201 – office
651-460-4208 - fax
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Endres-Spray, Julia
Sent: Thursday, July 14, 2022 3:13 PM
To: billers@list.mnhomecare.org
Subject: Prior Auth question
Hi-
Looking for some insight on what other agencies are experiencing when getting PA from Kepro for MA clients. What documentation are you being required to send in? What are you experiences with denials if PA hasn’t been secured? Or if there
are add on services?
Thank you
julie
Julia Endres-Spray RN, PHN, MA
Director- Home Health/ PCA Assessments
Interim Director- Hennepin Healthcare Hospice
Mailing address: 2000 Summer St NE, Suite 100 | Minneapolis, MN 55413
612.617.4623 (office)
hennepinhealthcare.org | facebook.com/hennepinhealthcare | twitter.com/hennepinhc |
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