I had a crash and burn course on nursing home and hospital inpatient and outpatient and in pt rehab billing. I made it 10 months and it ended badly… I ‘ve worked here going on 11 years now. I love it.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 4:29 PM
To: billers@list.mnhomecare.org
Subject: Re: Billing Medicare vs. Medicaid

Thank you, I am definitely learning a new skill set ;) .... somedays the hard way!

On Wed, Feb 24, 2021 at 4:14 PM Salin, Tracy M <tsalin1@fairview.org<mailto:tsalin1@fairview.org>> wrote:
Glad you asked. It isn’t like the information is out there very easy to read or understand.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 4:05 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>
Subject: Re: Billing Medicare vs. Medicaid

Yup.. thank you, yes for sure. I am currently working on all of that :) It's a process

On Wed, Feb 24, 2021 at 4:04 PM Salin, Tracy M <tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>>> wrote:
Your agency should probably be brought up to speed on that one.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 3:47 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>
Subject: Re: Billing Medicare vs. Medicaid

Nope, I didn't see one in the chart documents

On Wed, Feb 24, 2021 at 3:06 PM Salin, Tracy M <tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>>>> wrote:
So you don’t have a signed ABN? If not then get one signed and  date it as early as you are able to to get your claims paid as much as possible. You have to have an ABN on file to bypass billing Medicare first.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>>> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 3:00 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>>
Subject: Re: Billing Medicare vs. Medicaid

What would you recommend as far as the ABN goes if we have already been seeing this pt for a couple months? Just get it signed next visit and use that date?

On Wed, Feb 24, 2021 at 2:26 PM Salin, Tracy M <tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>>><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org><mailto:tsalin1@fairview.org<mailto:tsalin1@fairview.org>>>>> wrote:
You need to add occurrence code 25 and date ABN signed. This is the date you determined services is not a Medicare covered service.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>>> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>>>> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 2:24 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org><mailto:billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>>>>
Subject: Billing Medicare vs. Medicaid

Ok, so I have a client that we billed Medicaid since they were for med management, nothing Medicare qualifies for skilled nursing services. So I didn't think we could bill Medicare. However it was denied for other insurance.
DHS says I need to submit a claim to Medicare first and once it is rejected to resubmit with them, so I am doing this to have it rejected.
Once it is rejected, how do I let DHS know it was rejected? Is this a modifier?

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=0-SfxqX2io5tY6Wv4FkTfGkIrJoVSDlgV3rRcHhkcDc&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=_AFT5lD4elbDsLyGI0LLEIDSOlAI01apFvSvAnTSbD4&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=Nn41gvqMmoCWmwwhKtxEttaaTHRCvitZBl6QY-4RW0g&e= ]

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=MKSPXJp2S8w6NaLZhl7XVD5HnOFm0mRoROgyL4VagTA&s=Fo0TAFU-2Z4H7I5jfCu1f9bijnA_IkKCc_t_gul9tJw&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=MKSPXJp2S8w6NaLZhl7XVD5HnOFm0mRoROgyL4VagTA&s=P4J71k9wIV5PK9ypj7usn5hK9SFXMwwVMvFw54UQfrY&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=MKSPXJp2S8w6NaLZhl7XVD5HnOFm0mRoROgyL4VagTA&s=K2jUhskQUZbblnPILhvhimAEtGwZKPj4vnp-vEMBHjI&e= ]

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=du9DYG5tEtXkvB4kIQFPTrWMF-irqrcYrHzWTFvav_Q&s=2yecg7G0yye2OsPewtbcnXXylexAuNOnbOL5khtl4rY&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=du9DYG5tEtXkvB4kIQFPTrWMF-irqrcYrHzWTFvav_Q&s=GOHO3vCfA3D9GlrnnV_BsCS49K8itbYwkMsl3TDM1vE&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=du9DYG5tEtXkvB4kIQFPTrWMF-irqrcYrHzWTFvav_Q&s=4UUsuriUBxLPfLK3Q4YwGg9BxreLxG0oaEihNUNA5hU&e= ]

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=SGizDPZtLjM0uYoMK0SkWH4csHVTBmjnqm4NNxwstdE&s=3t4w7K6UQBqNZy7aKdFalz-5cUcpNYIP8FrNd7jwsKs&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=SGizDPZtLjM0uYoMK0SkWH4csHVTBmjnqm4NNxwstdE&s=ws--SKRNQ2O6AaEz2a0Jm3WNOA-BpfCjXS7rpiYaMnQ&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=SGizDPZtLjM0uYoMK0SkWH4csHVTBmjnqm4NNxwstdE&s=KqSEHvFZmmaa7mM8mTw2jgGE_1ENUxJTkuta_WFKtg8&e= ]

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N,
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=oQcKkW_S_skcxGniQRvZyUdaCw0U483a4jDI5jCLfmk&s=jcKSXcEX7leiGiZ0Zld5dG7NOon16c6H1EwoOgdVdoA&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=oQcKkW_S_skcxGniQRvZyUdaCw0U483a4jDI5jCLfmk&s=ofFPHAmOOXKPAx569oAtWeMw3Z9oBrWULQcF5Jd4OCQ&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=oQcKkW_S_skcxGniQRvZyUdaCw0U483a4jDI5jCLfmk&s=niXlT1LK2jLCsIP85LAHSIEadSdIJ225czh0woMe2rE&e= ]