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HOME HEALTH: MEDICAID THIRD PARTY LIABILITY (TPL)

Help Desk Question of the Week: HOME HEALTH MEDICAID THIRD PARTY LIABILITY (TPL) Listserv Question: Are any other home care providers having issues with Medicaid denying claims with the message "RECIPIENT HAS OTHER INSURANCE COVERAGE ON THE MEDICAID THIRD PARTY LIABILITY FI" on claims that were being paid in the past with "TPL ON RECIPIENT FILE, [...] Read More

Managed Care

MANAGED CARE By Alexandra Weingarth, Policy and Advocacy Director One of OCHCH’S main priorities is to alleviate burden surrounding managed care. While we know that the re-procurement process is approaching, we do not want to wait for our issues to be resolved at an unidentified timeline. Therefore, we have suggested regular meetings between provider associations, [...] Read More

RCD CLAIM APPROVAL RATE CALCULATIONS

By Beth Foster, RN, BA, CPHQ, CEHCH   Palmetto GBA has received questions regarding the claim approval rate calculation results while in the RCD. Palmetto responded with - Please be reminded: There are NO recalculations for the RCD end of cycle results. OUR TAKE: This means the 6 month cycle results cannot be appealed or [...] Read More

Bulletin January 7th, 2020

OCHCH Bulletin January 7th, 2020 ‌ ‌ HAPPY NEW YEAR!!! We are doing our best work in making sure that the Weekly Bulletin can easily be visually scanned, so that you can get the information and save time!  So the emails will contain the headlines from the entire bulletin.  However, since this is a benefit [...] Read More

OCHCH Bulletin December 23rd, 2019

‌ OCHCH Bulletin December 23rd, 2019 ‌ ‌ An Easily Accessible Bulletin! We are doing our best work in making sure that the Weekly Bulletin can easily be visually scanned, so that you can get the information and save time!  So the emails will contain the headlines from the entire bulletin.  However, since this is [...] Read More