Yes, we have to accept the adjustment, I have tired to appeal them before, but if the hospital billed the stay as observation, we don’t have much of a choice.
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Marnie Pogreba Home Care and Hospice
OFFICE:
218 894 8324 Fax:
218 894 8099 LAKEWOOD HEALTH SYSTEM, SENIOR CAMPUS 401 Prairie Ave NE| Staples, MN 56479 |
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Monday, October 16, 2023 11:40 AM
To: billers@list.mnhomecare.org
Subject: Re: humana recoupments
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**External Sender**
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That's what happened here too! Are you just accepting the adjustment? I don't know if there is much we can do. Thanks!
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 Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com>
Sent: Monday, October 16, 2023 7:49 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: humana recoupments
Hello April,
Yes, we just had one of those. What I have found is that the hospital ended up billing the stay as outpatient observation and not as an inpatient stay.
☹
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Marnie Pogreba Home Care and Hospice
OFFICE:
218 894 8324 Fax:
218 894 8099 LAKEWOOD HEALTH SYSTEM, SENIOR CAMPUS 401 Prairie Ave NE| Staples, MN 56479 |
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Thursday, October 12, 2023 2:01 PM
To: billers@list.mnhomecare.org
Subject: humana recoupments
|
**External Sender**
|
Good afternoon,
I am wondering if any home health providers are having recoupment requests from Humana for claims in 2022 with the following reason:
No acute or post-acute care in the 14 days prior to the home health admission
Just curious if anyone else is having this same recoupment request reason as I have not seen this one before and we have received a few now. Thanks!
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
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