On April 1, Medicare systems will correct three errors affecting the payment of Calendar Year (CY) 2021 claims:

  • Claims spanning January 1 are applying CY 2020 rates in error
  • Late Request for Anticipated Payment (RAP) penalties are not applying to outlier amounts
  • Late RAP penalties are being applied after the Value-Based Purchasing (VBP) adjustment, when the VBP adjustment should be the last calculation

Over the next several weeks, Medicare Administrative Contractors will reprocess these claims to correct your payments. You don’t need to take any action.

Last Updated: 03/18/2021