I have a claim rejected in clearing house reason is - “From-Through dates”. The NOA was previously accepted. This is for a 2024 SOC. I used the new member ID and sent to
00726.
I have opened a ticket with our EMR.
Mary Hanson | Billing Specialist |
River
Valley Home Care Inc.
916 8th Street Farmington, MN 55024
Phone: 651-460-4201
Fax: 651-460-4208
Email:
mhanson@rvhci.com
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Thursday, February 15, 2024 2:48 PM
To: billers@list.mnhomecare.org
Subject: Re: BC claim question
Thank you for your help, Marnie! If anyone hears of a resolution to that date of service error, please share with us🙂
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: Thursday, February 15, 2024 1:14 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: BC claim question
Yes, that is the same reason I am getting, “dates of service”.
|
|
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, February 15, 2024 1:02 PM
To: billers@list.mnhomecare.org
Subject: Re: BC claim question
|
**External Sender**
|
Is it stuck in your clearinghouse? All of my BC MSHO Medicare claims are stuck due to "dates of service" I have had a ticket open with Assurance our clearinghouse
for quite some time now and they are still working with the payer. I am not sure if this is a BC issue?
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: Thursday, February 15, 2024 12:58 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: BC claim question
Hi April,
I think the ID number should have been manually changed in the program you use to send your claims (we use TruBridge). You are correct, you would not want a new NOA or a new SOC date. That being said, I am having trouble with a few
of my Blue Plus MSHO (Medicare) claims not getting accepted. I have tried using both the 2024 ID number and the 2023 ID number. I do not know if it is a BCBS issue or not. I tried sending them once more today with the 2024 ID and if they come back we are
going to reach out to Trubridge again.
|
|
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, February 15, 2024 12:19 PM
To: billers@list.mnhomecare.org
Subject: BC claim question
|
**External Sender**
|
Good afternoon,
I have a few questions regarding the BC Member ID number update effective 1/1/24. All of our BC MSHO patients have new ID numbers as of 1/1/24. For the patients
on the Medicare side of their payer, we were told by to use the old ID number on final claims that have December and January dates of service on it. IT told us to update the ID numbers with the effective date of the start date on the new claim. I updated my
system with the new member ID numbers. Our system is generating new NOA's due to the new member ID number. I am not really sure that it should be since these patients were not discharged and readmitted. The other thing it is doing is updating the admit date
on the claim to the effective date of the new coverage. Should this be happening? We work out of Epic and I truly think this is probably an issue on Epic's side. Any guidance would be greatly appreciated. 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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