AccessPro
Billing Hub — NOA Module
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Medicare Compliance  ·  CMS Notice of Admission
NOA Tracking & Submission
5-day CMS deadline enforcement  ·  Auto-calculated payment reductions  ·  Audit-protected log  ·  Claims blocking
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Total NOAs
This episode
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Pending Submission
Due within 5 days
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Overdue NOAs
Past 5-day window
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Submitted & Confirmed
On time
$--
Payment Reduction Risk
Late NOA penalties
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Claims Submission Blocked
0 patient(s) have missing or overdue NOAs. Claims cannot be submitted until NOAs are filed. View affected patients →
Urgent — Due Within 24 Hours
0 NOAs
PatientSOC DateNOA DueStatus
✓
No urgent NOAs
Due Within 2–5 Days
0 NOAs
PatientSOC DateNOA DueDays Left
✓
No NOAs due this week
Overdue NOAs — Payment Reduction in Effect
PatientSOC DateNOA Due DateDays LatePayment ReductionEst. LossStatusActions
✓
No overdue NOAs
Recently Submitted & Confirmed
PatientSOC DateSubmittedConfirmation #MethodDays to SubmitStatus
📋
No submitted NOAs yet
All Overdue Pending Submitted
PatientSOC DateNOA DueSubmittedDaysMethodConfirmation #ReductionStatusActions
CMS Late NOA Payment Reduction Schedule — 42 CFR §484.20
1–7
No Reduction
On time
8–30
−25%
Per episode day
31–60
−50%
Per episode day
61+
−100%
No payment
Payment reduction applies to each day of the episode prior to NOA submission date.
Calculate Payment Reduction
Overdue NOA Payment Impact
PatientDays LateReductionEst. Loss
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No overdue NOAs
Exception Documentation — CMS Late Filing Appeal
CMS §484.20 Exception
CMS allows late NOA exceptions under specific circumstances. All exceptions are logged with timestamps for audit purposes.
NOA Audit Trail — Tamper-Evident Log
All NOA actions are logged with timestamps, user ID, and action details. This log is immutable and is your agency's legal defense in any CMS audit.
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Email Alert Settings
SMS Alert Settings (Twilio)
Billing Hub Integration & Protection Rules
Notice of Admission — Submission Form
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Pre-Submission Validation
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SOC Date Verified
Start of Care date must exist in patient chart
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Primary Diagnosis Code Valid
ICD-10 code required from OASIS
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Physician Information Entered
Attending physician required before submission
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Patient Demographics Complete
Select patient to verify demographics
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Within 5-Day CMS Window
NOA must be submitted within 5 days of SOC
Patient Information
Episode & SOC Dates
Submit by Day 4 — EDI systems may take 24hrs to process
Clinical Information (from OASIS)
Submission Details
Late NOA — Exception Documentation Required
CMS Critical Warnings:
No payment (including LUPA per-visit rates) for visits made BEFORE NOA is accepted by MAC — 42 CFR 484.20
ONE NOA per admission — remains active until patient discharge. Do not re-submit for each 30-day period.
Illinois MAC: Palmetto GBA (Jurisdiction M) — Stedi 837I routes to Palmetto automatically
After NOA is accepted, submit TOB 329 final claim for each 30-day period of care
NOA Risk Analysis
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Analyzing NOA compliance risk...