This was the email I received. Notice how the last two bullet points contradict. Humana makes me nervous. In one breath they say they do not require the RAP, the next they say to follow Medicare guidelines.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Monday, January 04, 2021 11:51 AM
To: billers@list.mnhomecare.org
Subject: RE: Humana
|
**External Sender** |
Our contract manager emailed that they do not want RAPs and written publication will be coming out soon.
Be Compassionate. Be Accountable. Be Respectful. Be Excellent!
Julie Embry
Director of Business Administrations
Guardian Angels Elim Home Care and Hospice
403 Main Street, Elk River, MN 55330
Main 763-241-0654
Direct 763-452-4104
Fax 763-241-0274
Email
jembry@gaehc.org
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Monday, January 4, 2021 11:48 AM
To: billers@list.mnhomecare.org
Subject: Humana
Hello,
Just wondering if those of you who bill Humana like PDGM are thinking the way I am thinking? We did have a contact person at Humana who got back to me in an email say that Humana would not require a RAP. I just didn’t trust that. I called
Humana today and got three different people. None of them knew anything about the penalty if a RAP was not submitted within 5 days. I was just told that they do whatever Medicare does. It’s a little discouraging when I cannot get an affirmative answer.
So, I am thinking that I need to follow the No Pay RAP rule for Humana that Medicare is doing.
Anyone else?
Marnie
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