I had sent NOAs on both these patients at their start of care and have been getting final payments just fine up until this time, but they denied for no RAP, which doesn't make sense because of the NOA that they do have on file.  So, I had to appeal the denial.  Just wondering if anyone else has run into this same issue with these plans?


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 Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Monday, March 6, 2023 8:01 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: Blue Plus MSHO PDGM denials
 

I have always sent raps/noas for this plan

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, March 3, 2023 4:34 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: Blue Plus MSHO PDGM denials

 

Anyone getting a denial on the Blue Plus MSHO products for not having a RAP? I just had to appeal two January claims that were denied for not having a RAP, explaining to them that NOAs are the requirement since last year, and I've been billing

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Anyone getting a denial on the Blue Plus MSHO products for not having a RAP?  I just had to appeal two January claims that were denied for not having a RAP, explaining to them that NOAs are the requirement since last year, and I've been billing these two patients for over a year!!

 

 

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

 

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