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The Centers for Medicare & Medicaid Services (CMS) recently announced changes to claim processing requirements that affect the use of Requests for Anticipated Payments (RAPs) for home health care claims, including changes to submission timelines and late penalties.
Specifically, for care with dates of service beginning Jan. 1, 2022, CMS will no longer require RAPs to be submitted with claims. Instead, a Notice of Admission (NOA) must be submitted with home health care claims. The change is intended to simplify the claims process.
However, VA will not require a RAP or NOA to be included with home health care claims submitted to VA. In addition, VA will not implement any of the late penalties since neither a RAP nor NOA is required. VA will pay claims based on the Health Insurance Prospective Payment System (HIPPS) code submitted on the claim and will look to providers to bill appropriately.
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On September 30, 2021, VA will retire the VHA TRAIN MISSION Act (MA) Curriculum (VHA TRAIN-MA) training website. All courses from the VHA TRAIN MA site will transfer to the main VHA TRAIN website and be available for all learners to access. A select few courses will continue to require an NPI number at registration. This transition will not require downtime and will be seamless to VHA TRAIN users.
The VHA TRAIN MA site was originally created to host mandatory MA training and accredited online courses for community providers. VHA TRAIN serves that same purpose and will continue to provide education for community providers so you can effectively care for our Nation’s Veterans.
For questions, please contact the VHA TRAIN help desk.
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Check out the latest community care articles posted to VA’s official VantagePoint blog:
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Mental Health Evaluation for Gender Affirming Surgery Webinar
This recorded (enduring) webinar describes the purpose and goals of a mental health (MH) evaluation for gender affirming surgery focusing on diagnosing Gender Dysphoria. General guidelines and critical components of the evaluation are explained along with the role of the MH clinician.
Register for the webinar through VHA TRAIN. If you do not have a VHA TRAIN account you can create one.
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Behavioral Health Treatment for Medically Unexplained Symptoms (Oct. 19, 2021, 12–1:00 pm ET)
This live webinar for behavioral health providers will discuss approaches for recognizing and treating medically unexplained symptoms that can be integrated into existing practices.
Register for the webinar through VHA TRAIN. If you do not have a VHA TRAIN account you can create one.
Go to WRIISC Provider Training for more provider education and training opportunities.
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Webinar: VHA Office of Community Care Overview (Oct. 21, 2021, 1-3:00 pm ET)
This webinar provides an overview of community care programs and policies, focuses on how to file clean claims, covers topics such as urgent and emergent Veteran care, eligibility, referral, and other critical provider issues.
Register for the webinar through VHA TRAIN. If you do not have a VHA TRAIN account you can create one.
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Webinar: HSRM Training (Every Monday, 2-4:00 pm ET and Tuesday, 1-3:00 pm ET)
This webinar provides an overview of HealthShare Referral Manager (HSRM), VA’s online system for the referral and authorization management process for Veteran care and gives an in-depth walk through of the system.
Register for the webinar through VHA TRAIN. If you do not have a VHA TRAIN account you can create one.
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