Oh I wish!!!!! Ours does not! It lives at client level

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mary Hanson
Sent: Wednesday, March 15, 2023 3:21 PM
To: billers@list.mnhomecare.org
Subject: RE: UCare

Hello, Our software allows us to apply a “rule” that adds the Occurrence Code 50 along with the assessment date on the claims. Mary Hanson | Billing Specialist | River Valley Home Care Inc. 916 8th Street Farmington, MN 55024 Phone: 651-460-4201

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Hello,

Our software allows us to apply a “rule” that adds the Occurrence Code 50 along with the assessment date on the claims.

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

916 8th Street Farmington, MN 55024

Phone: 651-460-4201

Email: mhanson@rvhci.com

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of VIG,TERISA
Sent: Wednesday, March 15, 2023 3:17 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare

I don't understand why the PMAP MA people are getting denied as of January 1st. Reading all these messages it doesn't seem like anyone else does either. There should be no difference in how we bill UCARE for a non-medicare episode than how we bill DHS. No other payer requires all these work arounds (and are they really work arounds or is Ucare going to figure it out and take all the money back?)

What am I missing? Besides over $10,000 in payments because Ucare doesn't pay no matter what I do? I am tired of changing claims and resubmitting and then having them tell me, no you need to bill it like PGDM and it's not a Medicare episode.

How are you getting the date to put in for Occurrence code 50? EPIC doesn't do it automatically so I am manually looking them up.

Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org

218-281-9240

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Melanie Ramse <MelanieRamse@AccentCare.com>
Sent: Wednesday, March 15, 2023 2:48 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare

Hi Crisa,

We have been billing FFS -not PDGM and getting paid for January 2023 claims with OCC Code 50 and adding Q code. I am now seeing denials for February 2023 claims with the remarks, Not paid separately when the patient is an inpatient. Are you experiencing any denials on your claims?

Thank you,

Mel R.

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: Wednesday, March 15, 2023 10:33 AM
To: billers@list.mnhomecare.org
Subject: Re: UCare

I've been submitting mine FFS - not PDGM and getting paid on it once adding the OCC code 50. 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

I've been submitting mine FFS - not PDGM and getting paid on it once adding the OCC code 50.

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 Staci Boehmer <sboehmer@lifespark.com>
Sent: Wednesday, March 15, 2023 10:20 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare

We are submitting the NOA’s and 30 day episodes, which includes the occ code 50

Staci Boehmer

Home Health and Hospice Billing Manager

Direct: 952-428-7295

Email: sboehmer@lifespark.com | www.lifespark.com

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Wednesday, March 15, 2023 10:16 AM
To: Billers@list.mnhomecare.org
Subject: UCare

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Hi everyone,

Circling back to our UCare troubles..

How are you billing the UCare Medicare plans? Are you submitting NOA's? Billing Episodically? Billing FFS and just adding the occurrence code on the claim?

Thank you!


"We Improve People's Lives"	Megan Klapperich Billing Supervisor Interim HealthCare of the Twin Cities 2680 Arthur St \| Roseville MN 55113 651-259-4218 \| Mobile: 612-271-8747 \| Fax: 651-259-4248 .

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