This is a multipart message in MIME format. ------=_NextPart_000_040D_01DA2EA3.7E04ED50 Content-Type: multipart/alternative; boundary="----=_NextPart_001_040E_01DA2EA3.7E04ED50" ------=_NextPart_001_040E_01DA2EA3.7E04ED50 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Hi Everyone, =20 Based on the notes Chuck sent my understanding is that you would prefer = to continue to hold billing in ClearCare for CDHC clients until the = letter is received, is this correct? I gave this process some thought = and have a compromise that would allow us to bill private pay amounts = immediately to reduce the impact of the cash flow delays from holding = CDHC billing, but it would require a heavier load of manual intervention = on the front end. I=E2=80=99ve outlined this process and some additional = questions I have below. I=E2=80=99ll set up time for us to go over this = together next week as well. =20 Questions: * Chucks notes mention the client would not have a fee for services with = CDHC.=20 1. Does this mean the future state is that CDHC clients billing rates = will not exceed the CDHC coverage rate and mileage will no longer be = billable? a. 57% of current CDHC clients have billing rates exceed CDHC coverage.=20 * This means they have a private pay responsibility for the difference = billed. b. 21% of CDHC clients were billed mileage, which is not covered by = CDHC. a. Will we be limiting client care hours to only the CDHC covered hours = so there is no risk of client responsibility? * To confirm, the expectation for new CDHC clients would still be that = any dates of service unable to be submitted to CDHC due to delays of 59+ = days for letter receipt would be the client responsibility. Is that = correct?=20 =20 Suggested Compromise: * For each client care shift, scheduling would add a manual shift for = the private pay client responsibility.=20 1. Shift 1 =E2=80=93 Billable and Payable shift at the CDHC rate. * This shift would have the CDHC Authorization attached. 2. Shift 2 =E2=80=93 Manual bill only shift, matching shift 1 added = after completion.=20 * Billable at the private pay hourly difference, but not payable. * For example: Client rate $40 - $32.95 CDHC coverage =3D $7.05 client = responsibility per hour. * This shift would not have the CDHC authorization attached. 3. Example:=20 * CDHC continue to bill Bi-Weekly. 1. Billing to finalize private pay client responsibility amounts = bi-weekly regardless of letter status. 2. CDHC rate shifts to hold for letter receipt or until the end of the = month =E2=80=93 whichever comes first. * Billing would send notification at EOM to advise of EOM billing for = clients missing authorizations/letters. * For clients billed without a letter, the submission deadline for the = first shift worked would be shared for visibility purposes. =20 =20 Thank you, Kristy Poyner Billing Manager Kristy.Poyner@thekey.com=20 =20 =20 From: Timothy Thomas =20 Sent: Wednesday, December 1