Thank you Crisa!!

Melanie Ramse | Lead A/R Specialist

Office: 651-232-2810 ex 37262

Email: MelanieRamse@accentcare.com

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, February 24, 2023 8:45 AM
To: billers@list.mnhomecare.org
Subject: Re: UCare claims

323 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 Melanie

323

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 Melanie Ramse <MelanieRamse@AccentCare.com>
Sent: Friday, February 24, 2023 8:43 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare claims

Hi Crisa,

What bill type are you sending on these claims to Ucare? Thank you for letting me know your claims are getting paid with adding Occurrence Code 50.

Mel

Melanie Ramse | Lead A/R Specialist

Office: 651-232-2810 ex 37262

Email: MelanieRamse@accentcare.com

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kelly Rader
Sent: Friday, February 24, 2023 8:38 AM
To: billers@list.mnhomecare.org
Subject: RE: UCare claims

Mine are getting paid, too. Thanks for the information. From: billers@ list. mnhomecare. org <billers@ list. mnhomecare. org> On Behalf Of Mortenson,Crisa Sent: Friday, February 24, 2023 8: 36 AM To: billers@ list. mnhomecare. org Subject: Re:

Mine are getting paid, too. Thanks for the information.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, February 24, 2023 8:36 AM
To: billers@list.mnhomecare.org
Subject: Re: UCare claims

I have gotten my claim review response from my original FFS Ucare claim that was denied. I had already resubmitted the claim with the Occ code of 50 and it was paid quickly. Hopefully this helps others!!!

Ucare's response:

I'm happy to assist. After reviewing claim 202303804837 the denial states, Per CMS policy, occurrence code 50 must be present on a home health claim type of bill 032X.

Thank you for your patience.

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 Mortenson,Crisa <Crisa.Mortenson@kmhc.net>
Sent: Wednesday, February 15, 2023 3:03 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] 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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