Thank you.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Tuesday, February 21, 2023 9:07 AM
To: billers@list.mnhomecare.org
Subject: Re: UCare claims

Mine is now paid, but I'm uncertain if it was adding the occurrence code or if it was the fact that they had sent my claim back for reprocessing. It hasn't even been a week since I resubmitted my claim, so not sure they'd process that quickly. I'd ask in the message center in the UCare portal and see if they can help you maybe.

Crisa Mortenson

Billing Officer

Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@kmhc.net

1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Kelly Rader <Kelly.Rader@hennhomecare.com>
Sent: Monday, February 20, 2023 9:13 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare claims

Did you have any luck with billing like this? Adding the 50 occurrence code? I tried and it did not work. I have a question about MSHO members where we are billing the T1030 code. We do not fill out the Oasis like Medicare so there is no HIPPS code so how will they know how to pay if that is what they are wanting?? So confused. I tried the 50 occurrence code with the date of the assessment and it got denied, again.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Wednesday, February 15, 2023 3:03 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare claims

I'm going to try and rebill my FFS claim on the one patient I had a denial on and include the occurrence code 50 with the appropriate date and see if that pays. I love how they tell us to refer to the CMS billing guideline booklet, which is 100 pages long...

Crisa Mortenson

Billing Officer

Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@kmhc.net

1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Mary Hanson <mhanson@rvhci.com>
Sent: Wednesday, February 15, 2023 1:59 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] UCare claims

Hello All,

Finally received a remittance today with many January claims that had been unprocessed. Some of these had shown in their system as pending with an amount of payment but unfortunately many claims denied. Reason Code M79 – Missing/incomplete/invalid charge.

I did talk to provider services today. Here is what I was told:

“Refer to the provider bulletin which reference CMS billing guidelines. Missing Occurrence Code 50 with bill type 032X.”

My question to the group is what is everyone doing when they bill these claims with the plans they list in the bulletin. Are they wanting PPS billing? Are you sending NOA’s?

One plan involved is UCare Connect + Medicare. So, even though these are Medicaid claims they are processing them as Medicare? I’m sorry but I am confused.

Any help on what you are doing that is working is greatly appreciated!!

Thank you.

Mary Hanson | Billing Specialist | River Valley Home Care Inc.

916 8th Street Farmington, MN 55024

Phone: 651-460-4201

Email: mhanson@rvhci.com

Mary Hanson | Billing Specialist | River Valley Home Care Inc.

916 8th Street Farmington, MN 55024

Phone: 651-460-4201

Email: mhanson@rvhci.com

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