OMG I am horrified!!! Please not me…. ew
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jaime Kummer
Sent: Tuesday, March 19, 2024 3:33 PM
To: billers@list.mnhomecare.org
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020
Me ☹ Not discussing dollar amounts . . .Since they are treated like PPS each claim is a 30 day period for a total of 48 claims. Incredibly frustrating because we spent HOURS getting paid for these claims because it was back when they were going
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Me ☹
Not discussing dollar amounts . . .Since they are treated like PPS each claim is a 30 day period for a total of 48 claims. Incredibly frustrating because we spent HOURS getting paid for these claims because it was back when they were going through all their transitions, Tri-West/Optum, billing requirement changes, etc.
It started in January with letters appearing to be reprocessing notices with explanation of benefits. Followed shortly by demand letters. We attempted to resolve with a human and were unsuccessful. We responded via certified letter, waiting to see if we get any sort of response.
Jaime Kummer | Administrator | River Valley Home Care Inc.
916 8th Street Farmington, MN 55024
Phone: 651-460-4201 Fax: 651-460-4208
Email: jkummer@rvhci.com
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jessica Demarais
Sent: Tuesday, March 19, 2024 3:32 PM
To: billers@list.mnhomecare.org
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020
Yes, we received the same thing……
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Kelly Rader
Sent: Tuesday, March 19, 2024 3:24 PM
To: Billers@list.mnhomecare.org
Subject: VA RECOUPMENT FOR PPS CLAIMS FOR 2020
Is anyone else receiving requests from the VA for adjustments on their PPS claims that were paid correctly (like Medicare) from 2020 and now are being re-processed as PER VISIT. They are recouping the difference. We do have an authorization for “bundled” services during this time. This is prior to Optum processing the claims.
Kelly Rader
Billing Specialist
Hennepin Home Health Care
763-425-5959 ex 44
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