RTP
CMS To Implement Claim Edit for Hospice Transfers
In July 2022 a claims processing edit to prevent gap billing between hospice transfers will be implemented. An individual may change, once in each benefit period (90-day or 60-day), the designation of the particular hospice from which he or she elects to receive hospice care. The change of the designated hospice is not considered a […]
Read MoreCMS To Implement Claim Edit for Hospice Transfers
In July 2022 a claims processing edit to prevent gap billing between hospice transfers will be implemented. An individual may change, once in each benefit period (90-day or 60-day), the designation of the particular hospice from which he or she elects to receive hospice care. The change of the designated hospice is not considered a […]
Read MoreCMS Issues a Workaround for RAPs Without Value Code 61
Home health agencies (HHAs) have had requests for anticipated payments (RAPs) retuned to providers (RTP’d) related to value code 61. With the no pay RAP policy, effective January 1, 2021, the Centers for Medicare & Medicaid Services (CMS) is no longer requiring that HHAs report value code 61 and the core-based statistical area (CBSA) on […]
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