Has anyone recently billed without the modifiers for OT and PT and been paid on a final?
From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Von Bargen, Iris A
Sent: Monday, March 30, 2015 8:58 AM
To: 'billers@list.mnhomecare.org'
Subject: RE: Humana PPS
I haven’t gotten that word from Humana yet, but the VA is now telling me I have to use those modifiers on therapy charges billed to them.
Iris
Iris Von Bargen, Sr. CSR
Fairview Home Care and Hospice
2450 26th Ave. S., Minneapolis, MN 55406
ivonbar1@fairview.org |
www.fairview.org
Office: 612-728-2356
Fax: 612-728-2394
From:
list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Kelly Rader
Sent: Monday, March 30, 2015 8:42 AM
To: 'billers@list.mnhomecare.org'
Subject: RE: Humana PPS
Hi.
For home care billing for Humana does anyone use a modifier for PT and OT for the final? Humana is telling us that we need to use the GO modifier for OT and the GP modifier for PT.
We do not do this for our straight Medicare billing so we are wondering why they are requiring it.
Thanks,
Kelly Rader
Hennepin Home Healthcare
763-425-5959 ex 44
From:
list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org]
On Behalf Of Billing
Sent: Wednesday, March 25, 2015 3:38 PM
To: billers@list.mnhomecare.org
Subject: Re: Humana PPS
Congratulations on getting a payment from Humana!
On 3/25/2015 2:08 PM, Muench, Stacie J wrote:
Hi there,
Yes Humana deducts 2% sequestration amount from their PPS payments. I just received a Humana PPS payment today and showed the 2% sequestration rate deducted from our payment- shows as CO 253.
Stacie
Stacie Muench
Essentia Health Home Care West
Patient Services Representative
114 Frazee Street East
Detroit Lakes, MN 56501
Ph: 218-847-0834
Fax: 218-847-0850
email: Stacie.Muench@EssentiaHealth.org
website: www.EssentiaHealth.org
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From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org] On Behalf Of Purrier,April
Sent: Wednesday, March 25, 2015 1:14 PM
To: 'billers@list.mnhomecare.org'
Subject: Humana PPS
Good afternoon,
I am wondering if Human deducts the 2% sequestration rate like Medicare does if billed in PPS format? I am noticing some small remaining balances in some of our AR that seems to be 2% of the amount that they paid on the claims. Just wanting to double check.Thanks!
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