Appeal type: unknown
Decision: unknown

 
The rules say that plans must pay for a medical service or item if regular Medicare would pay for it in this case. 
You can find this rule at 42 Code of Federal Regulations (CFR) Section 422.101. 
 
The rules say that Medicare pays for home health care services under a prospective payment system (HH PPS). 
Home health services under a plan of care are paid based on a 60-day episode of care. Payment for home health 
care episodes is usually made in two parts. To receive the first part of the HH PPS split payment, the home 
health agency must submit a Request for Anticipated Payment (RAP). Specific data elements are required to 
submit a RAP. The home health agency must enter the claim - Outcome and Assessment Information Set 
(OASIS) matching key output by the Grouper software. This is known as the Treatment Authorization Code. 
You can find this rule, a list of the data elements, and instructions for the Treatment Authorization Code in the 
Centers for Medicare and Medicaid Services, Internet Only Manual, Publication 100-04, Medicare Claims 
Processing Manual, Chapter 10, Section 40.1. 
 
The rules say that after a RAP has been paid and a 60-day episode has been completed or the enrollee has been 
discharged, the home health agency must submit a claim to receive the rest of payment due for the episode. 
You can find this rule and detailed instructions for the claim in the Centers for Medicare and Medicaid 
Services, Internet Only Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 10, Section 
40.2. 
 
Type of Bill  
 
Required - This 4-digit alphanumeric code gives two pieces of information. The first three digits indicate the base 
type of bill. The fourth digit indicates the sequence of this bill in this particular episode of care. The types of bill 
accepted for HH PPS requests for anticipated payment are:  
 
032x - Home Health Services under a Plan of Treatment  
4th Digit - Definition  
7 - Replacement of Prior Claim - HHAs use to correct a previously submitted bill. Apply this code for the corrected 
or new bill. These adjustment claims must be accepted at any point within the timely filing period after the 
payment of the original claim.  
8 - Void/Cancel of a Prior Claim - HHAs use this code to indicate this bill is an exact duplicate of an incorrect bill 
previously submitted. A replacement RAP or claim must be submitted for the episode to be paid.  9 - Final Claim for an HH PPS Episode - This code indicates the HH bill should be processed as a debit/credit 
adjustment to the RAP. This code is specific to home health and does not replace codes 7, or 8.  
 
HHAs must submit HH PPS claims with the 4th digit of 9. These claims may be adjusted with code 7 or 
cancelled with code 8. Medicare contractors do not accept late charge bills, submitted with code 5, on HH PPS 
claims. To add services within the period of a paid HH claim, the HHA must submit an adjustment. You can find 
this rule in the Medicare Claims Processing Manual Chapter 10, Section 40.2. 
 
The rules say that in addition to reporting a visit line using the G codes, HHAs must report an additional line item 
with the same revenue code and date of service, reporting one of the three Q codes (Q5001, Q5002, and Q5009), 
one unit and a nominal covered charge. You can find this rule in the Medicare Claims Processing Manual, Chapter 
10, Section 40.2. 
 
The rules also say that certain data elements are required. Any claim with incomplete, missing, or invalid 
information for all of these elements may be returned as unprocessable. You can find this rule in the Centers 
for Medicare and Medicaid Services, Internet Only Manual, Publication 100-04, Medicare Claims Processing 
Manual, Chapter 1, Section 80.3.1. 
 
If you want to read these Medicare rules, you can go to this website www.medicareappeal.com. 
 
The Plan contract says that the Plan covers items and services in accordance with Medicare rules.