That is a question I had. Does the recert oasis need to fall within the dates of service on the claim? Or could it be that it was from the month before if their recert oasis was not due in the dates on the claim?

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

 



From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Kelly Rader <Kelly.Rader@hennhomecare.com>
Sent: Thursday, March 16, 2023 10:03 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] Re: UCare
 

Crisa,

 

You occurrence code date should be the date of the Oasis Recert assessment visit completion date for the time span that was entered on the claim.  They may be looking for a more current date.  You have 11.2.2021 which is your SOC date.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Thursday, March 16, 2023 9:51 AM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] Re: UCare

 

I didn't change my billing template either, but added the OCC code 50 once I got my first denial in January.  Funny thing is that only one person denied and the other two paid, but now I have the Occ code 50 on all claims.  Kind of seems no rhyme or reason as to why they are denying.  Have you sent a message in the ucare portal?  Here's what my February claim looks like for the person that denied in January - it's already been paid for my feburary billing

 

 

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 Sara Sundberg <sara@gnhomecare.com>
Sent: Thursday, March 16, 2023 9:47 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Re: UCare

 

Terisa, 

 

I did not change anything that I was doing from 2022 to 2023 for my UCare MSHO clients and I have gotten all my claims paid. I do not have the OC 50 on them. I am billing FFS with T codes. I have no clue why mine are working and others are struggling. I am struggling with UCare Medicare. The whole thing is frustrating. 

 

Sara

 

On Thu, Mar 16, 2023 at 8:11 AM Melanie Ramse <MelanieRamse@accentcare.com> wrote:

Thank you, Crisa! 

 

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 Mortenson,Crisa
Sent: Thursday, March 16, 2023 8:04 AM
To: billers@list.mnhomecare.org
Subject: Re: UCare

 

Mel - I have received all payments for my ucare claims from February already and no denials. Hopefully that continues! I did not add a Q code though? Crisa Mortenson Billing Officer Phone: 218-843-3852 Fax : 218-843-2311 Email: crisa. mortenson@ kmhc. net

Mel - I have received all payments for my ucare claims from February already and no denials.  Hopefully that continues!  I did not add a Q code though?  

 

 

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: 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

 

[External Email: Use caution when clicking on links or opening attachments.]

 

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"

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Interim HealthCare of the Twin Cities
2680 Arthur St | Roseville MN 55113
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