Think you had some operational changes to make when the time constraint was added to the No-Pay RAP? Well, we have some more changes as of January 1, 2022. The Notice of Admission (NOA) will be easier in so many ways and the Claims Processing manual has already been updated for this big change. Join Lisa Selman-Holman for a short, …
NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC
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 …
[On-demand webinar] Operationalizing the RAP 2021
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 …
Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation
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) …