We are having some issues with Humana also, they recently sent a request for the complete chart on a patient for review back from October 2015. They did not pay the Medicare allowable rates and said the patient was responsible for a deductible and co-pay of over 1200.00. When I called them I was told that we had to bill the patient for the balance. As far as I know we are not allowed to bill Medicare advantage patients as this is their Medicare replacement policy and we never bill Medicare patients since we accept Medicare. 
Let me know if anybody else has had this happen.

Thanks

On Thu, Jun 9, 2016 at 11:06 AM, Jill Jacobson <Jill.Jacobson@knutenelson.org> wrote:

A few years ago our contract changed with them and they now pay us per visit instead of episodic. Since then our payments have been better.  We still struggle with flu shots which they will not pay us for and we have tried adding flu shots to our provider agreement with them but it has not happened, we end up having to write off the flu shots for those clients or we tell them we can’t give them a shot.

 

Jill (Landowski) Jacobson | Client Account Manager

Knute Nelson Home Care

2715 Hwy. 29 S. Suite 103 | Alexandria, MN 56308

Ph: 320-759-3496| Fax: 320-763-1191

www.knutenelson.org

cid:image003.jpg@01CCF552.D7834710              cid:2.2783059699@web120703.mail.ne1.yahoo.com

Have you considered naming the Knute Nelson Foundation in your estate plans?

                               

cid:3.2783059699@web120703.mail.ne1.yahoo.com

 

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From: list-manager@list.mnhomecare.org [mailto:list-manager@list.mnhomecare.org] On Behalf Of Aanenson,Angela
Sent: Thursday, June 09, 2016 9:12 AM
To: billers@list.mnhomecare.org
Subject: Humana Meeting

 

Hello,

Kathy and I will be meeting with Humana on June 27th. I am asking for as much input as possible from the agencies. I would like to know how many have stopped contracting with Humana or stopped accepting clients who have Humana. How many people received incorrect payments. Any information on specific issues you are having. Also, personal stories of having Humana as a consumer. Thanks!

 

Angela Aanenson RN COS-C

Director of Home Care &

Assisted Living Services

Perham Living Home Care

Routing #3671

Ph 218-347-1880

F 218-347-1885

PL color home care

 

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--
Laura Brown
Billing Manager
Lake Region Home Health
320-354-5858 phone
888-501-7631 fax