Lynette, Do you include the auth # on the claim and where? We do have authorization for our 2 episodes. 
Are you contracted with Humana?

Thanks, Kelly

From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org] On Behalf Of Rettig, Lynette
Sent: Monday, February 09, 2015 2:54 PM
To: billers@list.mnhomecare.org
Subject: RE: HUMANA PAYING CLAIMS

Kelly,

Our agency requests the auth for an episode instead of by the visit- this is the one thing that has helped our reimbursement problems.

Lynette Rettig
Reimbursement Coordinator
Ridgeview Home Health Services
501 S Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 6322

From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org] On Behalf Of Kelly Rader
Sent: Monday, February 09, 2015 2:51 PM
To: 'billers@list.mnhomecare.org'
Subject: FW: HUMANA PAYING CLAIMS

Subject: HUMANA PAYING CLAIMS

Good afternoon.

I have been having difficulty getting reimbursement from Humana for SNV, PT and OT. I have billed PPS (RAP & Final) and have been getting “paid” at a zero $$ amount for both.  The remit is stating “claim is reimbursed at Medicare allowable”.  Is anyone else having this issue? 

Any information would be appreciated.

KELLY RADER

INSURANCE BILLER

HENNEPIN HOME HEALTHCARE

763-425-5959  EX. 44