I personally would LOVE to strike the phrase “follow CMS guidelines” from EVERY PAYER”S VOCABULARY! They do not follow CMS requirements, they only follow the ones they have to and they have to adapt to work
within their software systems. Maybe we need to get a UCARE rep on a call with our group. I am getting all fired up now… lol
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jaime Kummer
Sent: Thursday, March 16, 2023 12:05 PM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] Re: UCare
Jaime Kummer | Administrator | River Valley Home Care Inc. 916 8th Street Farmington, MN 55024 Phone: 651-460-4201 Fax: 651-460-4208 Email: jkummer@ rvhci. com
From: billers@ list. mnhomecare. org <billers@ list. mnhomecare. org> On Behalf Of
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Jaime Kummer | Administrator |
River Valley Home Care Inc.
916 8th Street Farmington, MN 55024
Phone: 651-460-4201 Fax: 651-460-4208
Email:
jkummer@rvhci.com
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of VIG,TERISA
Sent: Thursday, March 16, 2023 12:04 PM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] Re: UCare
Okay, I am looking for that bulletin. If someone has it handy can you email it out? I will keep looking for it n the mean time.
Thank you,
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 Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Thursday, March 16, 2023 11:53 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] Re: UCare
The only info is that they are following medicare claims requirements effective regardless of provider contract but will still pay per provider contract. This was in a bulletin.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of VIG,TERISA
Sent: Thursday, March 16, 2023 11:39 AM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] Re: UCare
Another question about this .. . Has anyone seen or received written documentation specifically stating that UCARE is now requiring occurrence 50 and date and the reasoning
behind requiring it? Terisa Vig Patient Account Representative RiverView
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Another question about this ... Has anyone seen or received written documentation specifically stating that UCARE is now requiring occurrence 50 and
date and the reasoning behind requiring it?
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 Mortenson,Crisa <Crisa.Mortenson@kmhc.net>
Sent: Thursday, March 16, 2023 10:47 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] Re: UCare
The claim I shared below was paid - I maybe should've specified that, but his January claim had originally denied (without occ code 50) and then they
reprocessed it after I reached out to them on the portal and paid it. I did add the occ code 50, for the February claim, after it was talked about in this group and didn't realize I needed date of most recent oasis, not original assessment (I'm literally
a one-man show and I had to learn so much on my own through trial and error because the person before me did not train me in and while I've had some help, my access was limited to who I knew until I got added to this listserv).
However, they still paid on this particular February claim even with the original assessment date on the in the occ code 50. I do not have the Occ
code 25 & date. He has a Connect + Medicare plan. I don't know if that is helpful to any of you.
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 VIG,TERISA <TVig@riverviewhealth.org>
Sent: Thursday, March 16, 2023 10:36 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] Re: UCare
It used to be that my claims would be denied if I didn't have the 25 occurrence code & date. I don't see that your claim it and you were still getting
paid?
I called last week to Ucare and gave them all the people that denied and stated all the similarities/differences with payer types and group numbers to
see if that was causing a problem. Not a peep from them. I called yesterday to see what the status of my case was and so far nothing has been determined.
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 Mortenson,Crisa <Crisa.Mortenson@kmhc.net>
Sent: Thursday, March 16, 2023 9:50 AM
To: billers@list.mnhomecare.org <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"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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