Home Health Request for Anticipated Payment (RAP) and Notice of Admission (NOA)
Defines Humana's billing and reimbursement guidelines for Request for Anticipated Payment (RAP) and Notice of Admission (NOA) submissions for Medicare Advantage and commercial products, and explains provider responsibilities for final claims and HIPPS reporting.
No material clinical or coverage changes in this revision.
Home health RAP/NOA Billing and Payment Rules
Home health RAP/NOA billing and payment rules
Rules applicable to home health agency claims under Humana Medicare Advantage and commercial products.
ALL of the following
ALL of the following
- Humana does not require submission of a Request for Anticipated Payment (RAP), Notice of Admission (NOA), or a no-pay home health bill for home health services.
- Humana does not apply a reduction or penalty for a home health agency's failure to submit a RAP, NOA, or no-pay bill.
ALL of the following
- For claims with 2021 dates of service, Humana denies a RAP or a no-pay home health bill as informational when received and does not reimburse RAP claims.
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