Re: 150290 CDHC - Reconciliation of Denials/ Overpayments & Confirm Correct Invoicing: Payments 985066, 985068, 993859, 993860, 1007416, & 1007419 - [#1341955]

From
Shawntel Sousa <ssousa@thekey.com>
To
Marc Atkinson <billing@thekey.com>
CC
lito.delapena@thekey.com, Chuck Terlesky <cterlesky@thekey.com>, collectionsteam@thekey.com, tt@thekey.com, michelle.kenaga@thekey.com
Date
Fri, 26 Dec 2025 15:41:09 -0700
Folder
INBOX
--000000000000b3e93a0646e29733 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Hi, I am away but I=E2=80=99m not exactly sure what you mean here. All these cl= ient pay out of pocket. Their hours don=E2=80=99t change monthly. Are you saying they had a decrease in hours from their care manager there for resulting in over billing to the CDHC program? Can you clarify what you mean by overpaid? *Respectfully, * *Shawntel Sousa, LPN* Client Success Manager | TheKey Mobile: 403-305-6588 Office: 403-301-3777 On Fri, Dec 26, 2025 at 2:17=E2=80=AFPM Marc Atkinson = wrote: > Hi Shawntel, > > We wanted to bring up some possible authorization hours discrepancies for > 5 CDHC clients. I found these while working through the unapplied funds o= n > CDHC's account to confirm why we have these unapplied funds and to confir= m > why they overpaid on 5 shifts. Please see below. > > May you please review these and then confirm if your office needs to reac= h > out to the clients to confirm their current hours coverage? After speakin= g > with the CDHC last week, we found that some clients have changing amounts > of approved hours every month. > > 1. Alan (William) Dalgliesh: CDHC overpaid by 4.21 hours as of DOS 11/10 > 2. Marie Hillier: CDHC overpaid by 2.85 hours as of DOS 11/5 > 3. Fred (Gottfried) Asbjornhus: CDHC overpaid by 1.75 hours as of DOS 11/= 21 > 4. Hafiz Mohammed: CDHC overpaid by 0.93 hours as of DOS 11/23 > 5. Henry "Hank" Benoit: CDHC overpaid by 1.31 hours as of DOS 11/23 > > Thank you! > > Regards, > > Marc Atkinson > Senior Client Account Specialist > Customer Contact & Collections Center > 866-226-1702 - Main Line > 239-264-1290 - Direct > billing@thekey.com > > On Mon, 22 Dec at 3:41 PM , Marc Atkinson > wrote: > Hi Chuck and Shawntel, > > I just got off the phone with Alberta Blue Cross to review their denials > for DOS 11/17-11/28, amongst other matters. Please see below. Also, they > advised that our Provider ID # is 8053, in case your office needs this. > > > *Mary & Ray Albo* > > Reviewed the totals they short paid and confirmed they match what we have > in our system after posting their payment. The clients are responsible fo= r > the total overages seen below that are highlighted in red. > > > > *Carolyne Lewis* > > - ABC confirmed that the $596.89 in the client's responsibility > - On 11/20, the client reached her maximum number of hours, causing a > partial payment for 11/20 and no payments at all for 11/21-11/22. > - According to ABC, this client's hours change every single month. In > November, her hours were less than the 175.37 currently in Wellsky for he= r > auth. This is what caused the hours overage. They suggested that we work > with the clien't care manager to ensure that we have the correct > authorization on file for every month moving forward. Thankfully, the hou= rs > of 175.37 are correct for December, but we would suggest getting in touch > with the care manager to confirm January'

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