Home Health Providers: VA Will No Longer Require RAPs or NOAs

CMS recently announced changes to claim processing requirements that affect the use of Requests for Anticipated Payments (RAPs) for home health care claims, including changes to submission timelines and late penalties.

Specifically, for care with dates of service beginning Jan. 1, 2022, CMS will no longer require RAPs to be submitted with claims. Instead, a Notice of Admission (NOA) must be submitted with home health care claims. The change is intended to simplify the claims process.

However, VA will not require a RAP or NOA to be included with home health care claims submitted to VA. In addition, VA will not implement any of the late penalties since neither a RAP nor NOA is required. VA will pay claims based on the Health Insurance Prospective Payment System (HIPPS) code submitted on the claim and will look to providers to bill appropriately.

Traditional Medicare claims will continue to require NOAs. The rollout of NOAs has proven to be a disaster, with many EMRs failing to work with FISS DDE, and MACs having severe processing issues. If your agency is having problems with NOAs, you can’t afford to wait. Give us a call today to discuss the issues that you are having and get your agency back on track!