Correct Processing of Home Health Claims if the Request for Anticipated Payment (RAP) or Notice of Admission (NOA) Was More Than 30 Days Late and Correct Identification Critical Access Hospital Sub-Unit Discharges as Institutional Periods of Care
This Change Request ensures claims are systematically processed without payment if the RAP or NOA receipt date is more than 30 days after the claim From date. It also ensures discharges from Critical Access Hospital (CAH)-based inpatient rehabilitation units or inpatient psychiatric units correctly trigger institutional payment groups.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 13, 2021
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