Home Health

CMS clarifies RAP submission billing rules

CMS revised change request (CR) 11855 clarifying rules around the 5-day RAP submission requirement need to prevent payment delays starting in January.

The article details how to document situations in which a date could not be entered on line 0023 because the first visit did not occur within the first five days of the period.

CMS said that in that example, home health agencies can enter the first day of the period of care as the service date on this line when submitting a RAP for a subsequent period of care.

This will ensure a timely-filed RAP and will allow for the submission of RAPs for two 30-day periods of care immediately after the start of a 60-day certification period, the article states.

For more information on the change request, visit: https://go.cms.gov/2GusEbC.