What are other counties doing that reimburse Medicare
monthly premiums to clients? We currently are verifying that the clients
are eligible monthly to make sure we aren’t reimbursing a premium that
shouldn’t be reimbursed.
Thanks for your assistance!
Suzann Bakken
Assistant
Controller
Olmsted
County Finance
Phone
& Fax 507-328-6460
11 comments:
We have the FW's do up monthly vouchers for the clients and they turn them in monthly. Initial eligibility is given to case aide who then enters bills. She then bills MN.ITS after each board. We're small, so it usually works well. When eligibility is termed, FW notifies case aide. MN.ITS or MMIS shold be looked at prior to billing, but we usually have the FW's sign off on the vouchers.
Our EW's do not verify monthly for the reimbursements. The EW completes a form for accounting when a reimbursement starts, changes, or ends. They are wondering how you verify monthly that the clients are eligible - phone call to social security or client, etc. Thanks.
Hello, In Rice County we use an excel spreadsheet that is sent to two eligibility workers every month. They check for eligibility and return to us. We then upload into IFS for payment.
Lisa Stadler
We at Mahnomen County have the EW turn in requests monthly so we have no overpayments and we have the paper trail for Auditors
Sibley County uses an excel document that is visible by EW's and fiscal. We are a small county, but have very few overpayments since we implemented this document.
Red Lake County has a financial worker who prepares the vouchers each month. He is responsible for checking to be sure there is current eligibility before submitting for payment.
Carlton Co.
Financial Workers review before sending to accounting for payment. Obviously some still get through occasionally and we notice when we don't get reimbursed for those.
We have had success having the client pay us back when they received payments they shouldn't have. Few and far between on those.
At Benton EW workers are checking monthly for eligibility before submitting bills to accting for payment.
In Otter Tail, the EW will set up an authorization form for accounting indicating the eligibility span and amount. As of April 1 we will be moving to paying the client for the previous month premium instead of current month. This allows accounting/Office Support to verify eligibility before payment is made. This should reduce the number of denied claims.
Diane
In Wabasha County the Financial Assistance Supervisor checks the eligibility and she creates a spreadsheet that accounting uploads to IFS for payment. The following month accounting uploads the claims to MN-ITS for reimbursement to the county. We have had a couple that were denied reimbursement and we bill the client to recoup the money they weren't supposed to get and our clients have repaid each time it has happened.
At Sherburne County financial workers are completing a voucher and are expected to verify eligibility before it goes to accounting.
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