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NO-PAY RAP Rule 2021 Medicare Home Health Agency- The Only Way to not get Penalized in 2021
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- Опубліковано 17 сер 2024
- If you are a Medicare Certified Home Health Agency this is what you MUST do NOW to Succeed in 2021.
This quick 30 minute webinar will teach you what you need to know to avoid revenue loss in 2021 due to untimely RAP submissions.
Beginning January 1, 2021 home health agencies (HHAs) will be required to submit a request for anticipated payment (RAP) that will be paid at 0%, prior to each claim.
If the RAP is not submitted within five calendar days, the HHA will receive a reduction in the payment that is equal to a 1/30th reduction to the wage and case-mix adjusted 30-day payment period for each day from the home health “from” date until the HHA submits the RAP.
CMS has lessened the requirements for the HHA to submit a Request for Anticipated Payment (RAP), as there will no longer be a payment associated with the RAP, but a late submission penalty has been added. The sole purpose of the RAP, effective January 1, 2021, is to establish your HHA as the primary HHA for the beneficiary. The following is required to submit a RAP effective January 1, 2021:
The appropriate physician’s written or verbal order that sets out the services required for the initial visit has been received and documented, as required in regulation at 42 CFR 484.60(b) and 42 CFR 409.43(d).
The initial visit within the 60-day certification period must have been made and the individual admitted to home health care.
In light of this agencies should review their current processes for submitting raps and adjust your process to get the raps out faster.
CMS proposes to align the No-Pay RAP with the one-time NOA which begins January 1, 2022. CMS has not finalized the data content for the NOA and plans to release a companion guide when the NOA data content has been finalized.
Click on the link below for the handouts:
www.dropbox.co...
For more information: Email me at labarta@imarkbilling.com or visit us on the web at www.imarkbilling.com
She is always up to date .For my company I only listen to her for PDGM and we are doing excellent and now With No Rap payment, her video is excellent at explaining everything!!
This is great, keep the good work going.
very informative and Amazing presentation.
Easy to understand. Thank you!
Thank you! Great info and glad to be a part of your team!
Nice teaching. Will like to contact you for more teaching on other topics.
Excellent video, very informative
Excellent presentation!! Thanks so much. Do you know what generic HIPPS code can be use to submit the RAP claim?
Hi, Thank you! Most softwares will be putting in a place holder for the hipps code. It has to be an acceptable PDGM hipps code.
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What a home job i can do. How do i get certified with medicare .