Thank you Tracy! We do not use carefacts, and the generic HIPPS code is more new information to me.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy M
Sent: Thursday, December 03, 2020 10:49 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
|
**External Sender**
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You bring up some things I have been looking for clarification on. I would like to hear what your or anyone else’s understanding is?
First – the generic HIPPS code can be any one of the HIPPS codes? No. For carefacts, they are building the one in. They also will have the claim have the generic hipps code attached if it was on the rap.
But Medicare has the occurrence code pointing to the oasis to match up to the claims for pricing and carefacts will have pricing for the claim built from actual hipps code.
Second – the RAP and the Final need to have the same HIPPS code, if we use a generic HIPPS code, it is ok if it is different from the HH Grouper HIPPS code that Medicare assigns to the Final claim? Rap and
claim have to have same hipps code and it is fine because they do pricing off oasis hipps
Third – Does the diagnosis have to be acceptable with the generic HIPPS code used? No diagnoses does not have to. I believe medicare is giving the generic hipps code to be used by everyone… will get clarification
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Thursday, December 03, 2020 9:49 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
Tracy,
You bring up some things I have been looking for clarification on. I would like to hear what your or anyone else’s understanding is?
First – the generic HIPPS code can be any one of the HIPPS codes?
Second – the RAP and the Final need to have the same HIPPS code, if we use a generic HIPPS code, it is ok if it is different from the HH Grouper HIPPS code that Medicare assigns to the Final claim?
Third – Does the diagnosis have to be acceptable with the generic HIPPS code used?
Thank you,
Marnie
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy M
Sent: Thursday, December 03, 2020 8:34 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
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**External Sender**
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Yes. It sounds like carefacts is going to build so we can bill both 1st and 2nd 30 day RAPs with the generic hipps code so we can if we need to and when the claims get
billed, they will bill also with the generic hipps code but carefacts to generate revenue based on actually hipps code. SO minus a few kinks we will run into with the software glitches, I think we are going to be really well set. Our goal is to use the generic
as little as possible but we know the reality of how easy that would be to do… lol…
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tammy Kluver
Sent: Thursday, December 03, 2020 8:29 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
I actually just watched it… Yes great
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy M
Sent: Thursday, December 03, 2020 8:27 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.
There was a really great training on this yesterday and my boss gave me some great emails explaining. We use Carefacts so can I chat with you later about what I learned? I have meeting this morning
but am more than happy to share info.
Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tammy Kluver
Sent: Thursday, December 03, 2020 6:33 AM
To: Billers@list.mnhomecare.org
Subject: Rap's
Question…
First how many of you have a billing package in your EMR…also what do you use for EMR. We use Carefacts
Second what is your plan for the 5 day Rap as of 1/1/21
Tammy Kluver
Homecare & Hospice
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