But 33X is the type of bill that MA requires and how we have always billed Ucare. 34X doesn’t make sense, they are saying follow Medicaid guidelines. I believe Ucare is still wrong in denying the claims. We bill MA claims with 33X and that
is how we have been billing Ucare as well. I think bc the plans have Medicare is where the issue lies, bc 34X is is a Medicare bill type.
Traci Olson
Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Thursday, April 13, 2023 10:36 AM
To: billers@list.mnhomecare.org
Subject: Re: Ucare billing issues disaster
When I rebilled the claims and received payment, I had billed with a 34X type of bill did NOT add 50 occurrence code on the claim. That is when they paid.
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of VIG,TERISA <TVig@riverviewhealth.org>
Sent: Thursday, April 13, 2023 10:33 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Re: Ucare billing issues disaster
I totally agree. I am still trying to get access to the new portal because none of my Jan-Mar claims are in "old" portal. Very frustrating.
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 Traci Olson <Tolson@regencyhhc.com>
Sent: Thursday, April 13, 2023 10:24 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Ucare billing issues disaster
Hello everyone,
I have still been doing a bunch of research and trying to find information online about this whole Ucare MSHO/Connect Plus disaster. I actually finally found in writing what the 2023 Ucare provider manual states about billing for these
plans. See below:
Home Care Services Criteria:
*****UCARE’S MINNESOTA SENIOR HEALTH OPTIONS (MSHO) AND UCARE CONNECT + MEDICARE UCare’s MSHO and UCare Connect + Medicare combine Medicare and Medicaid benefits; therefore, UCare follows
both Medicare and Medicaid criteria for coverage. Medicare standards are reviewed first. If a request for home care does not meet Medicare criteria, it is reviewed using Medicaid criteria. For Medicaid criteria for home care services, refer to the Medical
Necessity Criteria section of this manual.
Too me Ucare is denying these claims in error. It states if the clients don’t meet Medicare criteria that then the benefits move to their Medicaid plan and we would bill with Medicare’s billing requirements? Why would we bill with a 34X
type of bull and occ code of 50 when those are MC billing requirements. When have you ever added an Occ code 50 on a claim that we are billing “T”-codes and not G-codes. I know I have not.
I believe this is a Ucare error.
Traci Olson
Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax
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