Oops Please delete this message!  UGH!

 

Your partner for good
Paula Berger PHN, RN, COS-C
Regulatory Compliance Supervisor, Home Care
Tel. 952-993-3669 | Fax 952-977-0622

 

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Berger, Paula
Sent: Wednesday, June 5, 2024 11:15 AM
To: billers@list.mnhomecare.org
Cc: Johnson, Kelly J <kelly.johnson2@parknicollet.com>; Ray, Katie <katie.ray@parknicollet.com>
Subject: [EXTERNAL]Is aide auth needed?? RE: questions
Importance: High

 

External Email: Don't click links or attachments unless you trust the email.

Hi Billing Team,

Carla Ransom, 91847971.  She has Aetna insurance. 

Can one of you let us/Katie know if this this patient needs Auth for aide services.  Let us know ASAP since this is care related.  Thank you!

 

Katie,  I do see that she has coinsurance and will be billed for 20% per visit until she has met her out of pocket.  I also see a max of 40 home health visits per calendar year.  I don’t know if that 40 includes aide (it usually does not) .    

 

Let us know.  Thank you!

Your partner for good
Paula Berger PHN, RN, COS-C
Regulatory Compliance Supervisor, Home Care
Tel. 952-993-3669 | Fax 952-977-0622

 

THIS E-MAIL CONTAINS SENSITIVE AND CONFIDENTIAL INFORMATION. DO NOT FORWARD WITHOUT THE PERMISSION OF THE ORIGINAL SENDER. IF YOU BELIEVE YOU HAVE RECEIVED THIS E-MAIL IN ERROR, INFORM THE ORIGINAL SENDER IMMEDIATELY.

 

 

From: Johnson, Kelly J <kelly.johnson2@parknicollet.com>
Sent: Wednesday, June 5, 2024 9:50 AM
To: Berger, Paula <paula.berger@parknicollet.com>
Subject: FW: questions

 

Who would know this info? I looked in intake and on the referral but there is no documentation if auth is needed.

 

Your partner for good
Kelly Johnson OTR/L, COS-C
Quality and Compliance in Home Care
Tel. 952-993-0403 | Fax 952-977-0622

 

 

THIS E-MAIL CONTAINS SENSITIVE AND CONFIDENTIAL INFORMATION. DO NOT FORWARD WITHOUT THE PERMISSION OF THE ORIGINAL SENDER. IF YOU BELIEVE YOU HAVE RECEIVED THIS E-MAIL IN ERROR, INFORM THE ORIGINAL SENDER IMMEDIATELY.

 

 

From: Ray, Katie <katie.ray@parknicollet.com>
Sent: Tuesday, June 4, 2024 5:57 PM
To: Johnson, Kelly J <
kelly.johnson2@parknicollet.com>
Subject: questions

 

Hey Kelly-

How are you doing?  If you have time, I would love to get together sometime to catch up. 

I have a patient question for you.  I have a patient Carla Ransom, 91847971.  She has Aetna insurance.  Do you know if she needs prior auth for HHA?  I thought I got a message about this, but I can’t find it.  I looked in her chart/ insurance info and couldn’t find it.  I tried to call, but after being in the automated system for so long, was unable to talk to anyone.

Do you know the answer or know who I can contact to get the information?  She really needs help so I want to get this figured out soon if I can.

Katie