MACs Report Processing Glitches for No-Pay RAPs

Among payment-related policy changes for the home health industry in 2021 is the elimination of traditional Requests for Anticipated Payment (RAPs) — and the introduction of the “no-pay RAP.” While the change is a potentially costly one for home health agencies, they’re not the only ones struggling to keep up. Medicare Administrative Contractors (MACs) have […]

[White Paper] PDGM: The Outsourced Coding Opportunity

When the Patient-Driven Groupings Model (PDGM) takes effect on Jan. 1, all certified home health agencies will be subject to the new reimbursement system. With some agencies projecting an expected rise in reimbursement and others projecting a loss, clinical characteristics — and coding them correctly — will become more important than ever. In response, some […]

[White Paper] PDGM: The Outsourced Coding Opportunity

When the Patient-Driven Groupings Model takes effect on Jan. 1, all certified home health agencies will be subject to the new reimbursement system. With some agencies projecting an expected rise in reimbursement and others projecting a loss, clinical characteristics — and coding them correctly — will become more important than ever. In response, some providers […]