CMS Revises HHA Claim Instructions

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The Centers for Medicare & Medicaid Services (CMS) has issued corrections to Change Request 11855 through Transmittal 10696, dated, March 31,2021. The revisions include instructions that any principle diagnosis may be reported on the request for anticipated payment (RAP) in order to facilitate timely submission. Since these RAPs are not paid, the accurate principal diagnosis […]

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CMS Revises Instructions for Submission of No Pay RAP

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The Centers for Medicare & Medicaid Services (CMS) revised Change Request (CR) 11855 to update the Service Date reporting on the claim and some remarks  After the original CR was released, NAHC went back to CMS to ask exactly how a home health agency should document on the claim those situations where a date could […]

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CMS Provides Instructions for Submitting No Pay RAP

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The Centers for Medicare & Medicaid Services (CMS) released Transmittal 10254/Change Request (CR) 11855 Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation on July 31, 2020. The CR updates Chapters 3 and 10 of the Medicare Claims Processing Manual with instructions to Medicare Administrative Contractors (MACs) and providers for the generation and […]

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