Nursing Facility Mass Adjustments

Nursing Facility Mass Adjustments

DSHS sent out the following notice regarding a problem with nursing home payments that have been sent out.  You can view this notice on the internet here.

“Please see the below message from the Health Care Authority.

Due to system constraints, ProviderOne cannot offset the payments on the remittance advice due to a switch in payment from agencies. This will look like the provider has been paid twice for the services, but it is creating a receivable in OFR for the overpayment. OFR will reach out to providers to collect the overpayment. PROVIDER IMPACT: Over 40K Nursing Home claims were paid out of the incorrect account code program. Claims affected have payment dates between Sept 18 and November 13. The adjustments will correct the account coding. ORIGINAL ISSUE 11/18/20: Over 40K Nursing Home claims were paid out of the incorrect account code program. Claims affected have payment dates between Sept 18 and November 13. The adjustments will correct the account coding. No impact to staff or clients. Providers will see a claim increase in the Adjustment area of their Remittance Advice. The adjustments should not affect the payment amount.

For updates on this issue visit the ProviderOne Discovery Log.”

 

Questions?

Contact:

David Carter | Director, Health Care Finance & Policy

C 360.888.5702

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