Knowledge Base Article #714:

Care Portal inactivation assessment after the RAP has been sent

Issue: User needs to 'unlock' a transmitted assessment because the corresponding RAP was RTP’d for the HIPPS code which indicated no hospital/in-patient stay.  MO175 should have been checked for hospital and LTCF.  Then the user needs the new HIPPS code that is generated to correct the claim in FISS.

Solution:

1.     perform 'inactivation/reactivation" steps to correct the information in the assessment [see KB Article #658]

2.     Edit the RAP in FISS with the new HIPPS code generated by correction assessment in Step #1

3.     contact GRS Support Center with Patient name(s) and episode start date(s) to 'un-bill' edited RAP in Step #2

4.     after RAP is un-billed, go into FINANICAL – BILLING – ASSESSMENT TRACKING and change the billing status of the original (incorrect) assessment to IGNORE

5.     change the billing status of the revised (correct) assessment to IGNORE

6.     run normal Medicare PPS RAP cycle which will include all other RAPs than the one corresponding to the corrected assessment from Step #1

7.     change the billing status of the revised (correct) assessment to PENDING

8.     run normal Medicare PPS RAP cycle (do not generate an electronic file or submit to Medicare since you have corrected it in Step #2) which will only include the RAP corresponding to the corrected assessment from Step #1

Keywords: Care Portal, inactivation assessment, wrong HIPPS code, RAP wrong, Re-bill RAP
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