Medicare home health providers bring a wide array of skilled services directly to a patient’s residence to meet the needs of beneficiaries who are homebound.
Medicare hospice agencies are dedicated to providing the highest level of comfort and care to beneficiaries diagnosed with terminal illnesses.
Posted Jun 10, 2021
Posted Jun 10, 2021
Posted Jun 10, 2021
Posted Jun 9, 2021
Posted Jun 9, 2021
Home Health: Penalty for RAPs Received More Than five Days Early
2/24/21
Open
Home Health Agencies
N/A
N/A
The Home Health Pricer program is incorrectly applying a penalty to RAPs received more than five days earlier than the “From” date of the RAP. The associated claims cannot be readily identified for MAC suspension.
We will provide updates when applicable.
Agencies may still submit RAPs as they choose.
A system fix is scheduled for 7/6/2021. Once the fix is implemented, National Government Services will adjust claims with a value code QF amount greater than $0 (penalty amount) and a RAP RECEIPT DT of more than five days earlier than the “From” date.
HH+H LUPA Claims Rejection Error- Reason Codes 39929 and 37363
4/7/21
Open
J6 and JK HH+H providers
39929 (claim level) and 37363 (line level)
N/A
LUPA claims are rejecting in error with RCs 39929 (claim level) and 37363 (line level), indicating incorrectly that RAP claims have been submitted beyond timeliness limits.
Update: 6/8/2021: Mass adjustments are complete.
Update: 4/21/2021: A workaround has been applied and claims will no longer deny at the claim or line level before final processing.
No provider action is needed, however, please continue to monitor the Production Alerts section of our website and future Email Updates.
Approximately 10/4/2021
