Medicare Compliance & Reimbursement

Home Health Reimbursement:

Check Physician Enrollment In PECOS Before Accepting Referral

Lack of clarity on how the edits will impact RAPs. There is still some measure of confusion which the Centers for Medicare & Medicaid Services (CMS) needs to clarify with regard to how the PECOS edits will impact Requests for Anticipated Payment (RAPs) for episodes starting Jan. 6 or later. The edits affect claims with a “From” date of Jan. [...]
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