Home health billing guidelines for contracted providers

This information is intended for home health agencies that do not submit their claims to MyNexus and are contracted with Anthem to be compensated based on the original Medicare Home Health Prospective Payment System. This information is not intended for home health agencies that are contracted to be compensated based on per visit rates.

Visit our website to view billing guidelines recommended for home health providers to use when billing a request for anticipated payment (RAP) and final claim to Anthem. This information will assist home health providers in receiving the correct and timely payment according to Medicare guidelines and their contract.

 

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