Corporate

Home Health Final Claim Timeliness Calculator

Under the Home Health Prospective Payment System (HH PPS), Medicare makes a split percentage payment for most HH PPS episode periods. The first payment is in response to a processed Request for Anticipated Payment (RAP), and the last is in response to a processed final claim. If the final claim is not received 120 days after the start date of the episode or 60 days after the paid date of the RAP (whichever is greater), the RAP payment will be cancelled automatically by the Fiscal Intermediary Standard System (FISS). For additional information, refer to section 40.1 of the Medicare Claims Processing Manual (CMS Pub. 100-04, Ch. 10)External PDF

Use this tool to prevent your Request for Anticipated Payment (RAP) from being auto-cancelled by the Fiscal Intermediary Standard System (FISS).

Start Date of HH PPS Episode:

Paid Date of RAP:


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