We bill the same way. Our understanding is you do not need prior auth before the assessment visit but you need to include the assessment visit in your prior auth request.
From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Kelly Rader
Sent: Friday, March 27, 2015 3:47 PM
To: billers@list.mnhomecare.org
Subject: RE: coding question
I bill therapy visits as (1) to Ucare as per their billing requirement. G0152 (PT) & G0151 (Ot) for MSHO and Ucare for Seniors. S9129 (OT) & S9131 (PT) codes for Ucare Msc + and SNBC. I do not have any
problems. According to UCare policy we do not need an authorization for PT or OT evals but I have found that the EVAL visits do not get paid if there is not an auth from HSM in UCARE system. I request an auth for the 1 visit. HSM puts it in as 4 units but
I still bill 1 visit and get paid correctly.
Kelly Rader
Hennepin Home Healthcare
Brooklyn Park, MN 55443
763-425-5959 EX 44
From:
list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Girtz, JoAnn
Sent: Friday, March 27, 2015 3:27 PM
To: billers@list.mnhomecare.org
Subject: RE: coding question
We have had trouble billing therapy to UCARE in general as they have misunderstood units (what we bill) and visits (what they are paying). They have told us in the past this
is a system issue on their part. It has been a struggle for us to receive correct payments timely.
Jo Ann Girtz
Manager Home Health Patient Financial Services
CHI Health at Home – Home Health and Hospice
4816 Amber Valley Parkway Suite 105
Fargo, ND 58104-8404
Phone (701) 237-8133 / Fax (701) 237-8188
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From:
list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Mary Jonason
Sent: Friday, March 27, 2015 7:14 AM
To: Billers@list.mnhomecare.org
Subject: coding question
Has anyone else had trouble with UCARE denying therapy evaluations for the wrong code when you are billing the G codes?
“Whether you believe you can or cannot you are right” Anonymous
Mary Jonason
Accounts Receivable Manager
Prairie River Homecare
Phone 763-682-0665 fax 763-682-6543
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