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Corrections to errors made by Medicare systems April 1

Medicare systems corrected three errors on April 1 affecting the payment of CY2021 claims.

The errors were:

  • Claims spanning January 1 were applying CY2020 rates in error
  • Late Request for Anticipated Payment (RAP) penalties were not applying to outlier amounts 
  • Late RAP penalties were being applied after the Value-Based Purchasing (VBP) adjustment when the VBP adjustment should be the last calculation

Agencies do not need to take any action as Medicare Administrative Contractors will reprocess these claims to correct the payments over the next several weeks, CMS stated in their post.

To view the post, click https://go.cms.gov/2PpYL0S.