If you like receiving money on the front end of an episode, make sure your RAP stats are good. Smart home health agencies can take these steps in light of the increased Request for Anticipated Payment scrutiny: 1. Keep close tabs on your RAP cancellations, urges M. Aaron Little with BKD in Springfield, Missouri. The HHH Medicare Administrative Contractors haven’t released a figure at which they’ll start imposing consequences, however. 2. If your RAP cancellations seem high, get to the root of the problem. Reasons can range from operational issues such as failing to get orders signed on time to technical glitches with claim or OASIS submission to human error. 3. Map out your RAP recovery plan based on the analysis of why your RAP cancel rate is so high. This will require you to have “knowledge of final billing requirements and monitoring agency processes to facilitate timely billing,” notes consultant Joe Osentoski with QIRT in Troy, Michigan. 4. Accept a helping hand from your MAC. “In case of any issues that arise, always receive any education offered by the Medicare Administrative Contractor,” Osentoski tells Eli. “This will provide guidance on what may be needed in case a Corrective Action Plan is required.” Note: CMS’s transmittal about RAP monitoring is at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R817PI.pdf.