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Home Health & Hospice Week

Industry Notes:

Include Type Of Admission Codes on RAPs, RHHI Says

Published on Tue Mar 08, 2011

A new Medicare claims system update means new payment problems to work through. Unbeknownst to many providers, CMS now requires all provider types to include Type of Admission codes on all claims, including requests for anticipated payment (RAPs), final claims, and hospice claims. The requirement was buried in CMS's 303-page Nov. 10, 2010 Transmittal 2090 (CR 7202), according to regional home health intermediary Cahaba GBA. The codes are not required on hospice notices of election (NOEs), Cahaba adds. The valid Type of Admission codes are: 1 -- Emergency; 2 -- Urgent; 3 -- Elective; 4 -- Newborn; 5 -- Trauma; and 9 -- Information not Available, Cahaba says. "When submitting billing transactions via Direct Data Entry (DDE), enter the Type of Admission code in the TYPE field on Claim Page 01 of the Fiscal Intermediary Standard System (FISS)," the intermediary instructs. Tip: The requirement applies to all claims received April 4 and later, regardless of [...]
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