I started sending in appeals but when they said they were going to reprocess them I thought I should stop.  I don't want double payments and then have to have to refund (which with my luck that's what would happen). 

I did contact Randi again yesterday to let her know that it's been a week after Optum said they were fixing the issue and I still got a denial yesterday and another today.  She said that was interesting and would contact OPTUM again and let me know.  I haven't heard from her yet but it hasn't been 24 hours since my last email.  

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 Hanson,April - April.Hanson at PerhamHealth.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, November 15, 2023 9:58 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] RE: VA-update on CBSA code
 
Good morning,
Is anyone doing anything about the denial from Optum for the value code 61 not being on nonbundled claims? Or should we just be waiting for the fix? Thanks!

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> on behalf of Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com>
Sent: Friday, November 10, 2023 1:46 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA-update on CBSA code
 

Thank you Traci!

 

 

 

 

    

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> On Behalf Of Traci Olson
Sent: Friday, November 10, 2023 1:37 PM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA-update on CBSA code

 

**External Sender**

 

Wanted to send an update, I reached out to the VA directly to see if they could get any answers, here is what I received back, just like I said but I know some are appealing. See below.

 

This is a known issue and PGBA is aware of it and working to identify the root cause to solve the issue. A claims project will be run to adjust all claims denied in error. I can’t give you a date on when that fix will be in place, but soon I hope. There isn’t anything the agencies are doing wrong, just a flaw in the system

 

Traci Olson

Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax

 

untitled

 

Confidentiality Notice: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Laurie Saehr
Sent: Thursday, November 9, 2023 11:18 AM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA

 

I have gotten the error you show below. I found out if it is your first claim for this resident to the VA and you send as a 211, I get that error. I change the claim to 213 and it pays everytime. Now I change my claim before it goes out.

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Katie Butala
Sent: Wednesday, November 8, 2023 11:49 AM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA

 

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.

 

What does the CBSA code have to do with the rejection of “PAYER DISCHARGE STATUS IS EQUAL TO 30 ADMIT DATE IS BEFORE THE STATEMENT FROM DATE” though?

I will call them again today before doing appeals- we have over 70 claims.

 

Katie Butala l Lead Billing Specialist

Corporate Office

4100 Lexington Ave N Suite 150 Shoreview MN 55126

Phone: 651.306.3091 | Fax: 651.633.7301

 

www.healthstarhomehealth.net

 

Information contained in this e-mail transmission is the property of the sender's employer and is intended for the named recipient. If you are not the intended recipient, do not read, distribute, or reproduce this transmission. If you have received this e-mail transmission in error, please contact the sender.

Disclaimer Regarding Uniform Electronic Transmissions Act (UETA) and Federal E-Sign (E-SIGN) Law: This communication is for discussion purposes only, and it does not create a contract or legally binding agreement. The UETA and E-SIGN do not apply to this communication.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kelly Rader
Sent: Wednesday, November 8, 2023 11:44 AM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA

 

Our biller hand keys the claims into VACCN claims express and it will show you right away that they are getting paid with the 61 CBSA code. 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Wednesday, November 8, 2023 11:41 AM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] RE: VA

 

I did not resubmit.  I called Optum and they told me I had to appeal.  So far I have sent in 5 appeals..  We don't have alot of veterans right now on services.  

 

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 Mortenson,Crisa - Crisa.Mortenson at kmhc.net (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, November 8, 2023 10:55 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] RE: VA

 

I am now running into this issue on ALL my FFS VA claims.  Did you have to call optum VA before you resubmitted the claims or did you just resubmit?

 

 

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Emailcrisa.mortenson@kmhc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 


From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Katie Butala <katieb@hhhealth.net>
Sent: Thursday, November 2, 2023 2:37 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA

 

Traci, I went into each individual one and RS we had a lot as well! So far, they have not rejected again. But it took them about 24 hours to reject the first time.

 

 

Katie Butala l Lead Billing Specialist

Corporate Office

4100 Lexington Ave N Suite 150 Shoreview MN 55126

Phone: 651.306.3091 | Fax: 651.633.7301

 

www.healthstarhomehealth.net

 

Information contained in this e-mail transmission is the property of the sender's employer and is intended for the named recipient. If you are not the intended recipient, do not read, distribute, or reproduce this transmission. If you have received this e-mail transmission in error, please contact the sender.

Disclaimer Regarding Uniform Electronic Transmissions Act (UETA) and Federal E-Sign (E-SIGN) Law: This communication is for discussion purposes only, and it does not create a contract or legally binding agreement. The UETA and E-SIGN do not apply to this communication.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Traci Olson
Sent: Thursday, November 2, 2023 2:10 PM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA

 

Katie,

 

I just realized all ours rejected as well and we use Waystar. What the heck. Did you have to go into each claim and RS in Waystar?

 

Did yours go through? I have a lot and don’t want to RS if it doesn’t work.

 

Traci Olson

Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax

 

untitled

 

Confidentiality Notice: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Katie Butala
Sent: Thursday, November 2, 2023 10:10 AM
To: billers@list.mnhomecare.org
Subject: RE: [EXTERNAL] RE: VA

 

Thank you! I just resubmitted, crossing my fingers they don’t reject again.

 

Katie Butala l Lead Billing Specialist

Corporate Office

4100 Lexington Ave N Suite 150 Shoreview MN 55126

Phone: 651.306.3091 | Fax: 651.633.7301

 

www.healthstarhomehealth.net

 

Information contained in this e-mail transmission is the property of the sender's employer and is intended for the named recipient. If you are not the intended recipient, do not read, distribute, or reproduce this transmission. If you have received this e-mail transmission in error, please contact the sender.

Disclaimer Regarding Uniform Electronic Transmissions Act (UETA) and Federal E-Sign (E-SIGN) Law: This communication is for discussion purposes only, and it does not create a contract or legally binding agreement. The UETA and E-SIGN do not apply to this communication.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Traci Olson
Sent: Thursday, November 2, 2023 10:08 AM
To: billers@list.mnhomecare.org
Subject: [EXTERNAL] RE: VA

 

I have had that happen a few times recently and I call have them RP and it pays.

 

Traci Olson

Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax

 

untitled

 

Confidentiality Notice: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jessica Demarais
Sent: Thursday, November 2, 2023 9:46 AM
To: billers@list.mnhomecare.org
Subject: RE: VA

 

Yes, I had a rejection for this yesterday.  I resubmitted it, and haven’t seen it come back to rejections as of yet.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Katie Butala
Sent: Thursday, November 2, 2023 9:03 AM
To: billers@list.mnhomecare.org
Subject: VA

 

Hi, we use waystar as our clearing house and all our VA claims were rejected by payer for “PAYER DISCHARGE STATUS IS EQUAL TO 30 ADMIT DATE IS BEFORE THE STATEMENT FROM DATE.” Is anyone else having this issue?

 

Thanks

 

Katie Butala | Lead Billing Specialist

Corporate Office

4100 Lexington Ave N Suite 150 Shoreview MN 55126

Phone: 651.633.7300 | Fax: 651.633.7301

Making A Difference MATTERS.

                                    

 

 

www.healthstarhomehealth.net

www.firstnationshomehealth.com

 

Information contained in this e-mail transmission is the property of the sender's employer and is intended for the named recipient. If you are not the intended recipient, do not read, distribute, or reproduce this transmission. If you have received this e-mail transmission in error, please contact the sender.

Disclaimer Regarding Uniform Electronic Transmissions Act (UETA) and Federal E-Sign (E-SIGN) Law: This communication is for discussion purposes only, and it does not create a contract or legally binding agreement. The UETA and E-SIGN do not apply to this communication.

 


CONFIDENTIALITY NOTICE: This message (including any attachments) may contain confidential client information. The information is intended only for the use of the individual or entity to whom it is addressed. If you're not the addressee or the employee or agent responsible to deliver this e-mail to its intended recipient, you are hereby notified that any review, use, dissemination, distribution, disclosure, copying or taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication in error, please notify the sender immediately, delete this message from your computer and ask your network administrator to delete it from any storage or back up files.


-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not
the intended recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.


-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not
the intended recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.


-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not
the intended recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.