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

From
Marc Atkinson <collectionsteam@thekey.com>
To
ssousa@thekey.com, cterlesky@thekey.com
CC
lito.delapena@thekey.com, tt@thekey.com
Date
Thu, 18 Dec 2025 20:56:35 +0000
Folder
INBOX
Hi Chuck and Shawntel,     We want to follow up to see if your office has been able to review the table showing the latest round of CDHC denials? To ensure we are all on the same page moving forward, we would like your office's guidance on how to proceed with the balances for each client.     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

                            Tue, 16 Dec at  4:28 PM

                            ,  Marc Atkinson <collectionsteam@thekey.com>  wrote:

                             

 

 Hi Shawntel and Chuck, 

   

 Please see below for the information concerning the latest round of CDHC denials, for DOS covering 11/17-11/28. These notices were just received and not discussed in any of our meetings. 

   

 Please review and advise on how your office wants to proceed with these clients and balances. 

   

 Thank you. 

   

   

























 Client 

 Date of Service 

 Explanation Number 

 Reason 

 Claimed Amount 

 CDHC Payment 

 Amount to Move to Client 





 146691 Mary Albo CDHC 

 11/17/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/19/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/20/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/21/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/24/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/26/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/27/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/28/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 146691 Mary Albo CDHC Total 

 

 

 

 $544.48 

 $0.00 

 $544.48 





 146984 Ray Albo CDHC 

 11/17/2025 

 16944 

 This claim has been previously submitted for assessment - Multiple Care Agencies 

 $68.06 

 $0.00 

 $68.06 





 

 11/19/2025 

 16944 

 This claim has been previously submitted for assessment - Multiple Care Agencies 

 $68.06 

 $0.00 

 $68.06 





 

 11/20/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/21/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/24/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/26/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $187.17 

 $0.00 

 $187.17 





 

 11/27/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 

 11/28/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 146984 Ray Albo CDHC Total 

 

 

 

 $663.59 

 $0.00 

 $663.59 





 148248 Carolyne Lewis CDHC 

 11/20/2025 

 1834 

 The number of times the patient is entitled to this service has been exceeded with this claim - Exceeded Hours 

 $272.24 

 $147.35 

 $124.89 





 

 11/21/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $272.24 

 $0.00 

 $272.24 





 

 11/22/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $199.76 

 $0.00 

 $199.76 





 148248 Carolyne Lewis CDHC Total 

 

 

 

 $744.24 

 $147.35 

 $596.89 





 153754 Teresa Didomenicantonio CDHC 

 11/26/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $136.12 

 $0.00 

 $136.12 





   153754 Teresa Didomenicantonio CDHC Total   

 

 

 

 $136.12 

 $0.00 

 $136.12 





 156468 Lorraine Monette CDHC 

 11/18/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $136.12 

 $0.00 

 $136.12 





 

 11/21/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $170.15 

 $0.00 

 $170.15 





 

 11/25/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $136.12 

 $0.00 

 $136.12 





 

 11/28/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $170.15 

 $0.00 

 $170.15 





 156468 Lorraine Monette CDHC Total 

 

 

 

 $612.54 

 $0.00 

 $612.54 





 159594 Thomas Chau CDHC 

 11/20/2025 

 16944 

 This claim has been previously submitted for assessment - Multiple Care Agencies 

 $42.54 

 $0.00 

 $42.54 





 159594 Thomas Chau CDHC Total 

 

 

 

 $42.54 

 $0.00 

 $42.54 





 159608 Minh Nguyen CDHC 

 11/20/2025 

 16944 

 This claim has been previously submitted for assessment - Multiple Care Agencies 

 $170.15 

 $0.00 

 $170.15 





 159608 Minh Nguyen CDHC Total 

 

 

 

 $170.15 

 $0.00 

 $170.15 





 159613 Tho Nguyen CDHC 

 11/20/2025 

 16944 

 This claim has been previously submitted for assessment - Multiple Care Agencies 

 $127.61 

 $0.00 

 $127.61 





 

 11/25/2025 

 1834 

 The number of times the patient is entitled to this service has been exceeded with this claim - Exceeded Hours 

 $127.61 

 $62.96 

 $64.65 





 

 11/26/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $127.61 

 $0.00 

 $127.61 





 

 11/27/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $127.61 

 $0.00 

 $127.61 





 

 11/28/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $127.61 

 $0.00 

 $127.61 





 159613 Tho Nguyen CDHC Total 

 

 

 

 $638.05 

 $62.96 

 $575.09 





 166513 Edward Grantham CDHC 

 11/28/2025 

 1834 

 The number of times the patient is entitled to this service has been exceeded with this claim - Exceeded Hours 

 $97.33 

 $47.30 

 $50.03 





 166513 Edward Grantham CDHC Total 

 

 

 

 $97.33 

 $47.30 

 $50.03 





 175943 Irene Huber CDHC         

 11/27/2025 

 1834 

 The number of times the patient is entitled to this service has been exceeded with this claim - Exceeded Hours 

 $68.06 

 $4.42 

 $63.64 





 

 11/28/2025 

 39297 

 The frequency limitation for this service has been exceeded - Exceeded Hours 

 $68.06 

 $0.00 

 $68.06 





 175943 Irene Huber CDHC         Total 

 

 

 

 $136.12 

 $4.42 

 $131.70 





 Grand Total 

 

 

 

 $3,785.16 

 $262.03 

 $3,523.13 







 

   

   

 Regards, 

   

 Marc Atkinson 

 Senior Client Account Specialist 

 Customer Contact & Collections Center 

 866-226-1702 - Main Line 

 239-264-1290 - Direct 

 billing@thekey.com











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