Advanced Search

Home Health & Hospice Week

Industry Note:

RAP Payments For Managed Care Patients History

Published on Thu Aug 14, 2014

You’ll no longer receive RAP payments from fee-for-service Medicare for Medicare Ad-vantage patients starting Jan. 1. The problem: Current Medicare systems edits prevent claims from receiving payment when the dates for a home health episode fall entirely within an MA enrollment period, CMS says in MLN Matters article MM8710. "However, RAPs for such episodes are currently being paid," CMS notes. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All