What would you say about this?
60 day cert period is from 11/4/2020-1/2/2021
The 1st 30 day period RAP and Final have been sent
The 2nd 30 day period I will send the RAP soon. Since the 2nd 30 day final will fall in 2021, how will that work? If I resend an additional RAP on Jan 1st, 2020 for the 2nd
30 day payment, it will be outside of the 5 day window. Will this still meet the new requirements, if I submit this final in 2021, following current procedures. Or how would you proceed?
Brittany Schwecke
Accountant
Renville County Public Health Services
105 South 5th Street, Suite #119H
Olivia, MN 56277
Direct: 320-523-3721
Public Health : 320-523-2570
Email :
brittanys@renvillecountymn.com
Web :
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Minnesota Department of Health hotline to call with health questions: 1-800-657-3903
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Wednesday, December 16, 2020 8:22 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
RENVILLE COUNTY SECURITY NOTICE:
WARNING: This message originated from outside Renville County. Use caution when clicking hyperlinks or opening attachments.
This is my understanding:
If a 60 day cert period is from, let’s say: 12/20/2020 – 02/17/2021
The RAP for 12/20/2020 will be like we do now.
The RAP for 01/18/2021 will be the No Pay RAP.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Brittany Schwecke
Sent: Wednesday, December 16, 2020 7:21 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Rap's
|
**External Sender** |
Is this if the second RAP begins anytime in 2021?
For instance, let’s say the second payment period begins 12/27/2020. A portion of the second payment period would still fall into 2021, but it would have started in 2020. Would we still submit the RAP in 2020
and another No pay rap in 2021, all for the second payment period?
Brittany Schwecke
Accountant
Renville County Public Health Services
105 South 5th Street, Suite #119H
Olivia, MN 56277
Direct: 320-523-3721
Public Health : 320-523-2570
Email :
brittanys@renvillecountymn.com
Web :
www.renvillecountymn.com
For the most up-to-date information on
COVID-19, please visit one of the following sites:
MDH -
https://www.health.state.mn.us/diseases/coronavirus/situation.html
CDC -
https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/index.html
Minnesota Department of Health hotline to call with health questions: 1-800-657-3903
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Tuesday, December 15, 2020 8:25 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
RENVILLE COUNTY SECURITY NOTICE:
WARNING: This message originated from outside Renville County. Use caution when clicking hyperlinks or opening attachments.
If the 60 day episode spans from 2020 – 2021 and the second 30 day period begins in 2021, you will need to submit a No Pay RAP for the second 30 day period that begins in 2021.
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Karen Gorecki
Sent: Tuesday, December 15, 2020 8:20 AM
To: billers@list.mnhomecare.org
Subject: Re: Rap's
|
**External Sender** |
Anybody seen any info on clients that overlap 2020 into 2021 for RAPs, etc?
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com>
Sent: Monday, December 14, 2020 8:10 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: Rap's
“S” Suspended does not necessarily mean it was accepted, it is in a review, there is the potential for it to Reject. But most likely will be accepted if there are no mistakes.
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Karen Gorecki
Sent: Monday, December 14, 2020 7:38 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
|
**External Sender** |
I use Ability but if it is in there as “S” suspended does that mean same as accepted? Usually either “S” or RTP(return to provider) but RTP can take couple of days…..
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Olson, Cindy
Sent: Friday, December 11, 2020 11:09 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
Where is everyone checking to make sure that the RAP is accepted into the system?
Cindy Olson | Business Office Manager
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ciolson@voa.org
Stanley Jones & Associates/Volunteers of America
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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tammy Kluver
Sent: Friday, December 11, 2020 11:03 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
I think it’s going to be a struggle at first, we are going to use that Grouper to get the HIPPS number code as quickly as possible , then we were thinking of putting it directly into DDE versus the clearing house, (like we do with the
Hospice NOE) we do not have the billing package in Carefacts so I hand enter everything anyway.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Karen Gorecki
Sent: Friday, December 11, 2020 10:49 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.
This morning also had meeting with 2 supervisors to try to figure out some type of tracking sheet so that when I am out expectedly or unexpectedly RAPs would be submitted timely.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Friday, December 11, 2020 10:46 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
I am the only one here too at this point who sends the RAP’s. I am not sure how it will work, I definitely plan on training some others to do it too, as soon as we see how this all flows in our system.
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Jenifer Baker
Sent: Friday, December 11, 2020 10:37 AM
To: billers@list.mnhomecare.org
Subject: Re: Rap's
|
**External Sender**
|
So we are using Axxess for our EMR and they have made some changes for us to complete submissions of both RAPs within the 5 day window. We are aggressively working on getting paperwork from clinicians completed more timely and our goal
is within that first 24 hours. We have outsourced our coding that guarantees coding and OASIS review within 24 hours as well (not that OASIS is needed, but coding will be), then we QA it as soon as that process is complete to submit for the RAP. We are hopeful,
not so confident at this point, that all of this will be completed within that 5 day window and accepted. We are still unclear how this will play out over weekends and holidays since we are a small agency, I guess that means I will be working 7 days a week?
Still trying to figure this process out to ensure timely filing. Any other smaller agencies out there have a plan for timely submission and acceptance of RAP over weekends or holiday periods? Cross train more of our staff/clinicians to be able to complete some
of this process?
On Thu, Dec 3, 2020 at 10:58 AM Karen Gorecki <karengorecki@gsc-mn.org> wrote:
We used to have Carefacts several years ago.
Now we use Home Solutions. It seems like it has had several names in the few years we have had them but that is what it is called on current banner. A few months ago I contacted them and they said they are aware of changes and are working on. That is all I have seen from them.
Just wondering if anyone else uses them and has gotten any info from them on where they are in process of updating for RAP changes in 2021?
Karen
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Salin, Tracy M
Sent: Thursday, December 3, 2020 10:49 AM
To: billers@list.mnhomecare.org
Subject: RE: Rap's
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
**External Sender**
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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