If your billing the Medicare side, pdgm, then you use the G codes. If you use the MA side, bill the T codes.
From: Vig,Terisa - TVig at riverviewhealth.org (via billers list) <billers@list.mnhomecare.org>
Sent: Wednesday, September 11, 2024 10:06 AM
To: billers@list.mnhomecare.org
Subject: Re: Medica dual solutions
I bill using the Gcodes. Terisa Vig Patient Account Representative RiverView Health Home Care tvig@ riverviewhealth. org 218-281-9240 From: billers@ list. mnhomecare. org
<billers@ list. mnhomecare. org> on behalf of Laurie Saehr <laurie@ pslomn. com>
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I bill using the Gcodes.
Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org
218-281-9240
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Laurie Saehr <laurie@pslomn.com>
Sent: Wednesday, September 11, 2024 10:03 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: Medica dual solutions
If someone has Medica MSHO and it is a dual solutions, if they meet all the requirements for a medicare episode, do you bill it to Medica PDGM
using Medicaid codes (ex: T1030, T1021)?
Thank you
Laurie Saehr
Billing Specialist
Partners Senior Living Options
PO Box 319
Royalton, MN 56373
Office: 320-302-0192
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