Ours is also St Cloud VA mostly.  Our claims are from 2021 dates that they are adjusting.

 

 

Alicia Schmidt

Accounts Receivable Manager

P: 320-759-3340 | F: 320-759-1275

2715 Hwy 29 S Ste 103, Alexandria MN 56308

knutenelson.org | walkermethodist.org

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kelly Rader
Sent: Wednesday, March 20, 2024 10:19 AM
To: billers@list.mnhomecare.org
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020

 

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Ours are both St Cloud and Minneapolis VA

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jessica Demarais
Sent: Wednesday, March 20, 2024 10:15 AM
To: billers@list.mnhomecare.org
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020

 

Ours are both St Cloud and Minneapolis VA claims with this issue.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Brianna Lindell
Sent: Wednesday, March 20, 2024 10:07 AM
To: billers@list.mnhomecare.org
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020

 

Hi,

 

MHCA is going to be looking into this issue- can all those that are having this issue please confirm that this is only a Minneapolis VA issue?

 

Thanks!

Brianna Lindell

Regulatory Affairs & Advocacy Manager

Minnesota Home Care Association

 

1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929

Direct: 651.240.3380 | Main: 651.635.0607

www.mnhomecare.org | blindell@mnhomecare.org

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Traci Olson
Sent: Tuesday, March 19, 2024 3:56 PM
To: billers@list.mnhomecare.org
Subject: Re: VA RECOUPMENT FOR PPS CLAIMS FOR 2020

 

Yes we as well. 

 

Traci Olson

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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: Tuesday, March 19, 2024 3:43:48 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: VA RECOUPMENT FOR PPS CLAIMS FOR 2020

 

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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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

kelly.rader@hennhomecare.com

763-425-5959  ex 44

 


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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.