Home Health Billing for Advantra

[heritagechc]

I am the medical biller for a Home Health Agency located in Ohio.  Has anyone working in home health had success billing Aetna Advantra after 1/1/20?  I have sent my claims using type of bill 321, 322, 323, and 324, just as I always have.  All of my claims are being denied and when I contacted them, I was told that it's because of the type of bill.  Do they now need to be billed using a 329 like a Medicare Final Bill?  Also, we used to bill by month.  Do the claims now need to be sent episodically? Our agency has not been paid on any Advantra claims since 1/1/20.  Any help would be appreciated!  Thank you!

[Michele]

I have not billed for this, however I thought I would try to give a suggestion.  If you have an example of a claim prior to 1/1/20 that paid with the same TOB that is now being denied, I would call and give them both examples.  Then ask them to point me to whatever documentation they have that explains whatever change they implemented on 1/1/20.  If they were paying the claims prior to 1/1/20 with the same information, then they must have implemented a change and they need to direct you to whatever info they have on that change.

Good luck!