On 2/22/21, CMS Claims Processing Issues has announced update regarding Reason Codes U5391 & 38107: No RAP or No Matching RAP is found. After they researched the issues, the CMS system is editing claims correctly. They report that regardless of when the RAP is submitted, the 0023 revenue code date submitted on the RAP and the claim MUST MATCH.
We have made an update to HHC 3000, that will accommodate this change. The update will be available 2/23/2021, Version 6836.
When billing a subsequent RAP, if the First Billable visit field is left blank, the software will use the ‘From’ date of the billing period on the RAP Claim. This will post the billing period ‘From’ Date into the 1st billable visit field for FINAL billing. Agencies will NOT want to use the ‘wrench’ button to automatically pull in the first billable visit, as then the 0023 line date will not match for RAP & Final Claim, if the RAP was billed with a ‘From’ date.
Please contact Allegheny Support with any additional questions.