Our Tricare west biller says –

They want a RAP every 30 days and the RAP & 30 day claim HIPPS code have to match & be a valid PDGM code – when we bill like that we’ve been receiving payment.

 

 

 

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Hello Friends,

 

Do any of you currently bill or have you recently billed TriCare West for home care? Any direction you can give me would be appreciated.  I see that their website says they follow PDGM, except they require a RAP and not a NOA.  Wondering what your experience has been?   I feel like we had one of these a few years ago and it was tricky.  They were using outdated Medicare rules and we had to do some things manually.

 

Thank you,

 

Marnie

Lakewood Health System Home Care & Hospice

Phone: 218 894 8324

Email: marniepogreba@lakewoodhealthsystem.com

 

 

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