I got a remit form UCARE today where they reprocessed 87 of my claims. These were rebilled by me and paid so no change was made to payment. I have not had any deny for this reason in the last week. I need to call them though so I will let
you know what I find out.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, May 24, 2023 1:12 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare
No this patient is on MA side of Ucare MSHO. 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>
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No this patient is on MA side of Ucare MSHO.
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 Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, May 24, 2023 1:09 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare
Is it a medicare qualifying service claim or no?
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, May 24, 2023 1:02 PM
To: billers@list.mnhomecare.org
Subject: Re: UCare
I tried calling Ucare on one of my claims again for a dual member and they seem to not know anything about this. They are still saying the denial is valid and Q codes
are also required on claims per CMS guidelines. Anyone else having the same
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I tried calling Ucare on one of my claims again for a dual member and they seem to not know anything about this. They are still saying the denial is valid and Q codes
are also required on claims per CMS guidelines. Anyone else having the same issue?
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 Brianna Lindell <blindell@mnhomecare.org>
Sent: Monday, May 22, 2023 9:46 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: UCare
Hi,
Thank you to everyone who came forward and allowed MHCA to provide your agency name to UCare.
We received an update from the leadership team and would like to pass on their resolution to the issue many have been facing. See below for the message from UCare:
For Dual member claims: Providers must continue to bill appropriately for home health care services based on Medicare and/or DHS requirements. UCare has lifted the edit that was previously in place for dual
eligible claims. UCare will also be adjusting claims that were inappropriately denied due to the lack of Occurrence code 50 on DHS only covered services dating back to dates of service 2022. This adjustment of claims will take several weeks. Agencies that
have edited claims to get them paid will not be reprocessed and should not be affected.
Providers may contact the UCare Provider Assistance Center by phone at 612-676-3300 or 1-888-531-1493 or
pac@ucare.org with further questions.
Best regards,
Brianna Lindell
Regulatory Affairs & Advocacy Manager
Minnesota Home Care Association
1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929
Direct: 651.240.3380
| Main: 651.635.0607
www.mnhomecare.org
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blindell@mnhomecare.org
From: Brianna Lindell
Sent: Wednesday, April 26, 2023 9:50 AM
To: billers@list.mnhomecare.org
Subject: UCare
Hi,
MHCA has been working behind the scenes to try and assist with the issues surrounding UCare over the last few months.
The leadership team at UCare is asking for a list of agencies who have had issues with UCare dually eligible and dually integrated claim issues.
I believe if we can give them a decent list of providers name who have been impacted, it will show the depth of this issue and hopefully lead to a system wide solution; one they have informed us this morning
they are working towards.
My ask- if your agency is comfortable with sharing your name in the list I send over, please let me know by the end of the day tomorrow.
Thank you all for considering and for everything you do!
Brianna Lindell
Regulatory Affairs & Advocacy Manager
Minnesota Home Care Association
1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929
Direct: 651.240.3380
| Main: 651.635.0607
www.mnhomecare.org
|
blindell@mnhomecare.org
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