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CMS Updates Claims Processing Manual

Posted on Sunday, January 19, 2020 11:54 PM

CMS has once again updated Change Request (CR) 11081 – Home Health (HH) Patient-Driven Groupings Model (PDGM) – Split Implementation through Transmittal 4489.  This most recent update corrects the Request for Anticipated Payment (RAP) payment percentage in the Policy section of the Business Requirement form. All other information remains the same.

The update was needed because the previous one did not update the RAP percentages with the 2020 home health final rule update effective January 1, 2020 which reduced the RAP percentage to 20 percent.

Source: NAHC Report

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