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TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Home Health Care (HHC)
Chapter 12
Addendum P
Examples Of Claims Submission Under Home Health Agency Prospective Payment System (HHA PPS)
Revision:  C-31, January 31, 2019
Due to the size of Figure 12.P-1, please go to the next page.
Figure 12.P-1  Request for Anticipated Payment (RAP) - Non-Transfer Situation
Description of Figure 7.B-1 (Page 1 of 3) - A picture of TRICARE Management Activity Form 771 (TMA 771), June 1991, Instructions for Submitting Reimbursement Information for Psychiatric Residential Treatment Centers Serving Children and Adolescents
Figure 12.P-2  RAP - Non-Transfer Situation With Line Item Service Added
This is an example of what a RAP might look like if other line item data had to be added because your software required a total charge greater than zero on the CMS 1450 UB-04. The system will look only at the HIPPS code information in order to generate payment. Remember that you will also need to enter this line item data on the claim. That is, in this example, your claim would also contain the charge for the Skilled Nursing visit on October 1, 2000.
Description of Figure 12.P-2 - A picture of CMS 1450 UB-04 - RAP - Non-Transfer Situation with Line Item Service Added (Example).
Figure 12.P-3  RAP - Transfer Situation
Note:  Point of Origin [Form Locator (FL) 15] is a B, which indicates that this beneficiary transferred to your HHA from another HHA.
Description of Figure 12.P-3 - A picture of CMS 1450 UB-04 - RAP - Transfer Situation (Example).
Figure 12.P-4  RAP - Discharge/Re-Admit
Note:  Point of Origin (FL 15) is a C, which indicates that this beneficiary was discharged from your HHA, but was readmitted within the same 60-day episode.
Description of Figure 12.P-4 - A picture of CMS 1450 UB-04 - RAP - Discharge/Re-Admit (Example).
Figure 12.P-5  RAP - Cancellation
Note:  The Type of Bill (TOB) changes to end in an 8, a Claim Change Reason Code (e.g., D5) is included, and the RHHI’s Internal Control Number (ICN) that identified the original RAP is included.
Description of Figure 12.P-5 - A picture of CMS 1450 UB-04 - RAP - Cancellation (Example).
Figure 12.P-6  Claim - Non-Transfer Situation
Description of Figure 12.P-6 - A picture of CMS 1450 UB-04 - Claim - Non-Transfer Situation (Example).
Figure 12.P-7  Claim - Transfer Situation - Beneficiary Transfers To Your HHA
Note:  Point of Origin (FL 15) is a B, which indicates that this beneficiary transferred to your HHA from another HHA.
Description of Figure 12.P-7 - A picture of CMS 1450 UB-04 - Claim - Transfer Situation - Beneficiary Transfers to your HHA (Example).
Figure 12.P-8  Claim - Significant Change in Condition (SCIC) Situation
Note:  Two HIPPS Codes appear on this claim due to a SCIC.
Description of Figure 12.P-8 - A picture of CMS 1450 UB-04 - RAP - Claim - Significant Change In Condition (SCIC) Situation (Example).
Figure 12.P-9  Claim - No-RAP-Low Utilization Payment Adjustment (LUPA) Claim
In this example, the beneficiary transferred to another HHA. Your HHA provided two services and had not yet submitted the RAP when the beneficiary transferred; therefore, you have a No-RAP-LUPA Claim situation.