Connolly issues automatic edit for RAP with no CMS Issue Number

The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC) Connolly recently issued a new RAC issue: RAP claim without corresponding home health claim CMS Issue Number.

The National Association for Home Care & Hospice (NAHC) has requested clarification from CMS about the basis for this since home health Requests for Anticipated Payment (RAP) are supposed to be automatically recovered through the Medicare claims processing system when a home health agency fails to submit a final claim within a certain time period (120 days or 60 days of the RAP payment).

Connolly is the RAC for Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, and West Virginia.

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