Industry Note:
RAP Payments For Managed Care Patients History
Published on Thu Aug 14, 2014
You’ll no longer receive RAP payments from fee-for-service Medicare for Medicare Ad-vantage patients starting Jan. 1. The problem: Current Medicare systems edits prevent claims from receiving payment when the dates for a home health episode fall entirely within an MA enrollment period, CMS says in MLN Matters article MM8710. "However, RAPs for such episodes are currently being paid," CMS notes. [...]