HEALTHCAREfirst by ResMed

Experience HEALTHCAREfirst

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Census - Hospice

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HEALTHCAREfirst is the only No Pay RAP support you need.

Now's the time to take control of PDGM's No Pay RAP requirements.

PDGM’s No Pay RAP requirement begins on January 1, 2021—are you ready? Our customers are already getting the support they need to effectively and efficiently manage their agency’s cash flow, because this new mandate is bringing significant change, which includes:

“No-payment” RAPs must be submitted within five calendar days (weekends included)
Physician order for initial visit at SOC, initial/first billable visit completed, and patient is admitted
HIPPS code on the RAP and final claim must match
RAP for first and second 30-day period of care may be submitted at the same time
Primary diagnosis only needs to be within PDGM clinical groupings (complete coding not required)
Primary diagnosis is the only diagnosis required on RAPs and does not need to match final claim

HEALTHCAREfirst is always one step ahead, putting processes in place before mandates begin, so your agency is prepared well before it’s required to be. Our billing and coding services are the solution to supporting home health and hospice agencies as they face these new PDGM challenges. The following timeline ensures no gap in our support of your operational needs:

DAY 1: Agency completes referral information and admission visit per EMR requirements.
DAY 2: If part of services scope, HEALTHCAREfirst will complete coding within 24 hours of submission.
DAY 3: Agency ensures required pieces are complete to support RAP submission.
DAY 3: HEALTHCAREfirst will submit RAPs daily for agencies contracted for billing services.
DAY 4: If part of services scope, HEALTHCAREfirst will complete OASIS review no later than two business days of submission.
DAY 4: HEALTHCAREfirst will confirm submitted RAPs are received and accepted by the MAC.

Request a consultation to see how HEALTHCAREfirst can help your agency prepare for No Pay RAP requirements.

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Video Testimonial

"We make sure that we are working right alongside all of our customers to eliminate any potential revenue loss."

"We make sure that we are working right alongside all of our customers to eliminate any potential revenue loss."

– Misty Skinner, Vice President of Services, HEALTHCAREfirst

At HEALTHCAREfirst, our goal is to ease the regulatory burden on home health and hospice agencies by removing the obstacles that could prevent timely claims reimbursements. Watch the video to find out how.

Experience HEALTHCAREfirst

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"Once HEALTHCAREfirst was up and running with Addison, they left no code unturned. “These people,” Deborah Wesley, CEO, VP of Clinical, Addison County Home Health & Hospice jokes, “if I didn’t know their names and haven’t spoken to them, I’d swear they’re machines. They are impressive.”

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