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NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC

In ICD-10, News, PDGM by Lisa Selman-Holman1 Comment

Our new PDGM grouper allows you to project Health Insurance Prospective Payment System (HIPPS) codes for expected revenue. Now you can easily project a HIPPS code based on the data at the beginning of the billing period, allowing for faster RAP submissions. The dollar amounts will be calculated based on the patient’s zip code. There is an indicator warning when …

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[On-demand webinar] Operationalizing the RAP 2021

In Home Health, News, Online Training by Lisa Selman-Holman2 Comments

The RAP will not provide any payment to agencies beginning January 1, 2021, but agencies may be paying CMS 20% of their payment if they do not submit within 5 days after the SOC. The requirements are not the same, but certain elements leave agency leaders scratching their heads. In this free, on-demand webinar, Lisa presents the new requirements and …

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Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation

In Home Health, News by Mary Madison9 Comments

CMS has issued a new MLN Matters Article MM11855: Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation (PDF).   This MLN Matters Article is for Home Health Agencies (HHAs) who wish to bill Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.  The article informs you about the implementation of the Calendar Year (CY) 2021 Home Health (HH) …