• Standardized per visit payment made in lieu
of HH PPS payment
– Applied to claims with four or less visits in the entire
episode
– Per-visit rates published in HH PPS rate update
calendar year final rule
No-RAP LUPA
• Advance knowledge of LUPA for episode
• HHA chooses to not submit RAP
• Claim may be adjusted later if visits are
added that exceed LUPA threshold
– Remember to submit RAP before adjusting claim
National Government Services Web
Resources
• Top Claims Submission Errors
• Home Health Job Aids
• FISS/DDE Provider Online Manual
• Training Events Calendar
• Education Session Material
• E-mail Updates
– New Medicare information (billing and coverage)
– Provider education and training announcements
Top Claims Submission Errors
• Includes the top error codes and helpful hints
on how to resolve the top errors
– Select Go to Home Page link for appropriate
Medicare contract/state combination from start page
– Select Accept on the HCPCS/CPT attestation page
– Select Top Claims Submission Errors subnavigation
under Claims
– Reason code reports are listed by workload and type
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