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January 14, 2021

Claims Processing Issues Update: Home Health RAP Workaround

The issue related to reason code 32035 and value code 61 has been updated on the Home Health & Hospice Claims Processing Issues Log webpage with the following information.

In 2021, it’s optional for you to report a Core-Based Statistical Area (CBSA) code using value code 61 for home health Requests for Anticipated Payment (RAPs). However, Medicare systems are returning RAPs without value code 61 in error. Your Medicare Administrative Contractor will add value code 61 and placeholder CBSA code 10180 to these RAPs so they continue processing. You do not need to take any action and may disregard the added codes.

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