Do you have and auth for the nursing and then another auth for the respite?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Sara Sundberg
Sent: Tuesday, October 17, 2023 5:04 PM
To: billers@list.mnhomecare.org
Subject: [EXTERNAL] VA Optum Respite

 

[EXTERNAL] CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

Has anyone else run into denials for Respite from VA Optum? Everything was working just fine until the end of August, early September, they started denying all of my respite claims. The denial reason says "This benefit is included in the payment/allowance for another service/procedure that has been adjudicated." It makes no sense to me because I have active authorizations for the skill. VA likes to have a separate auth for respite. Any help would be greatly appreciated!  

 

Thank you, 

--

Sara Sundberg

CFO

Good Neighbor Home Health Care

218-829-9238