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March 23, 2021

Home Health Payment Corrections

On April 1, Medicare systems will correct 3 errors affecting the payment of Calendar Year (CY) 2021 claims:

  • Claims spanning January 1 are applying CY 2020 rates in error
  • Late Request for Anticipated Payment (RAP) penalties are not applying to outlier amounts
  • Late RAP penalties are being applied after the Value-Based Purchasing (VBP) adjustment, when the VBP adjustment should be the last calculation

Once the correction is implemented, over several weeks CGS will reprocess these claims to correct your payments. You don't need to take any action.

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