If you don't get resolution to the claims within 30 days, contact your VA billing department (our is Fargo VA - Randy Wippler)  I contacted her last time and she reported to the "higher" ups at VA about the Optum processing problem and wants to be kept informed as to when these type of problems happen.  
.

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, February 14, 2024 2:35 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] VA Optum
 
I had the same denials again. This is that system issue everyone was having with December claims. Some of my January claims went through just fine, others did not. I sent in a spreadsheet again yesterday noting that value code 61 is not required for nonbundled claims. I checked in the site today and one of them was already processed to pay I haven't looked through the others yet. Fingers crossed they get it fixed for good this time!

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 Mortenson,Crisa - Crisa.Mortenson at kmhc.net (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, February 14, 2024 2:32 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] VA Optum
 
I just got off a chat with optum va and she told me it's a known issue and to give them "30 days" to correct in their system and the incorrectly denied claims would be reprocessed.



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 <Katie@onecircle.care>
Sent: Wednesday, February 14, 2024 2:29 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: [EXTERNAL] VA Optum
 

I ended up taking out the 61 and 85 value codes and using rev code 0580 with S5150 code. That seemed to work for a few claims- waiting for the others to come back now.

 

Good luck!

 

Katie Butala | Billing Manager
4100 Lexington Ave N, #150, Shoreview, MN 55126
Direct: 651.306.3091 | F: 612.870.3874
www.circleoflifehc.com

Honoring those we serve.

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.

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Wednesday, February 14, 2024 2:05 PM
To: billers@list.mnhomecare.org
Subject: Re: [EXTERNAL] VA Optum

 

I just got denials for this today.  I was trying to go back and see if there were any responses in my email, but couldn't find anything.  Anyone know anything about this lovely new issue?  🙂

 

 

 

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 Sara Sundberg <sara@gnhomecare.com>
Sent: Thursday, February 8, 2024 9:41 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] VA Optum

 

Okay, did anyone else get the new dumb denial from VA? 

    N843 - Missing/incomplete/invalid Core-Based Statistical Area (CBSA) code.

All of my claims have the 61 CBSA number as well as the 85 value code. The representative told me via chat that the number was incorrect. Our software vendor confirmed the CBSA number from CMS for 2024. What the heck is VA doing now? I swear it is just one issue after another with them. I have so many claims denied! 

 

--

Sara Sundberg

CFO

Good Neighbor Home Health Care

218-829-9238


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