Will you please clarify – does the “VALID primary dx code” need to be pertinent to that patient and included on the final claim OR can the “VALID primary dx code” be any valid dx code and used as a placeholder until the coding is complete? AKA – can a dummy code that is a valid PDGM code be used on the RAP?
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of
Salin, Tracy M
Sent: Monday, January 11, 2021 2:30 PM
To: billers@list.mnhomecare.org
Subject: CAUTION: RE: RAP denials w/o DX
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Thank you,
Fairview IT
ref: Fairview KB0015464, HealthEast KB0011367
You need a VALID primary dx code
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>
Sent: Monday, January 11, 2021 2:25 PM
To: billers@list.mnhomecare.org
Subject: RAP denials w/o DX
HI
From my understanding we don’t need DX codes for the new Medicare RAPs.. Or do we? Ours are getting denied with the NOICD code. We use Home Care Home Base software.
Anyone?
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
Guardian Angels † Elim Home Care & Hospice is jointly owned by Guardian Angels Senior Services and Cassia, an Augustana/Elim affiliation.
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