Weird because we use the G code on the advantage claims?? What is going on? HP may be our new BCBS
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Staci Boehmer Home Health and Hospice Billing Manager
Direct: 952-428-7295 Email:
sboehmer@lifespark.com
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www.lifespark.com
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Sara Sundberg
Sent: Tuesday, December 6, 2022 9:46 PM
To: billers@list.mnhomecare.org
Subject: Re: HP MSHO
[External Email: Use caution when clicking on links or opening attachments.]
I have been struggling with HP! I have some Medicare Advantage clients that I can't get their claims paid. I have talked to a few people and they told me that HP does not pay G codes and that I should use T codes on a 30 day claim, like
an episode even though they don't pay episodically. So confusing!! I have not had an MSHO client be "Medicare" yet. HP is a very small payer for us.
Sara
On Tue, Dec 6, 2022 at 11:04 AM Staci Boehmer <sboehmer@lifespark.com> wrote:
Hi,
I’m wondering if anyone has been billing Health Partners MSHO using the “G” codes? In the past, we have determined prior to billing if the client is homebound, we use the “G” codes (Medicare benefit) and if they are not we were using the S & T codes (Medical Assistance benefit).
HP is now denying all the “G” codes stating we can only bill with the S &T, which pay a LOT less on the fee schedule.
Any input is appreciated.
Staci Boehmer
Home Health and Hospice Billing Manager
Direct: 952-428-7295
Email: sboehmer@lifespark.com | www.lifespark.com
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