Except now they are denying some as CO97 and when I reached out on chat, they told me that there is a known processing error and they will reprocess any claims affected.  About half of mine were paid and half were denied.  So there is still an issue with optum va.


Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.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: Monday, November 20, 2023 3:04 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA
 

I also did this and so far, no rejections.

 

Thanks!

 

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>
Sent: Monday, November 13, 2023 8:06 AM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] RE: VA

 

I changed all my FFS claims to a 343 and resubmitted and they were all accepted.  (Refresher - they previously rejected for “PAYER DISCHARGE STATUS IS EQUAL TO 30 ADMIT DATE IS BEFORE THE STATEMENT FROM DATE” )

 

 

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 Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, November 8, 2023 12:42 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA

 

I am pretty sure everyone is using different clearing houses so that cannot be the answer. I just got a bunch of denials today too. N428

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Wednesday, November 8, 2023 12:34 PM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] RE: VA

 

I just hopped on a chat with my vaccn and they claim the following. Your information is being changed when keyed into our system the admission date and status codes are being changed by your clearinghouse We are processing the claims due to

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I just hopped on a chat with my vaccn and they claim the following.

Your information is being changed when keyed into our system the admission date and status codes are being changed by your clearinghouse 

We are processing the claims due to how the clearinghouse is submitting the claims. This is a clearinghouse issue, it should not have processed on our side but since they were submitted electronically we have no control over the system processing these claims.

 

 

When I asked her how it could be a clearinghouse issue when other people are having the exact same issue and using a different clearinghouse than I am (I use availity), she didn't have a response except that I should fax or mail my claims to them for 'proper' processing.  So I guess I now print all these claims and fax them.

 

 

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 Traci Olson <Tolson@regencyhhc.com>
Sent: Wednesday, November 8, 2023 12:13 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA

 

Yes Waystar (our clearing house) if working on it.  And no not TOB 343 for us.

 

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>
Sent: Wednesday, November 8, 2023 12:08 PM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] RE: VA

 

It sounds like it is a clearinghouse issue.  I had to have Assurance do a bridge to fix mine so the claims would go because DAH the admit date is always before the statement date for ongoing claims.  

 

TOB 343  is what I am assuming that is rejecting?

 

 

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 12:03 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] RE: VA

 

But if they're rejecting at the clearinghouse level, there isn't anything to reprocess because optum va didn't actually get the claim, so I can't call them for reprocessing.

 

 

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 Vig,Terisa - TVig at riverviewhealth.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, November 8, 2023 11:54 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] RE: VA

 

You will have to call.  They will only (unless you are luckier than I was) re process 5 claims every time you call.  I ended up doing a spreadsheet and sending to them.  See what they tell you.  Every time I call I get different answers.

 

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 Katie Butala <katieb@hhhealth.net>
Sent: Wednesday, November 8, 2023 11:48 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] RE: VA

 

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.

 


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