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Home Health & Hospice Week

Industry Notes:

Expect Fix For HospiceClaims Glitch In April

Published on Fri Feb 18, 2011

A fix is finally scheduled for a hospice claims glitch discovered in January. The problem: "In some cases, hospice claims were being returned to providers (RTP'd) in error with reason code 31503," RHHI Cahaba GBA says on its website. "The sum of the total units for revenue codes 651, 652, 655 and 656 exceeds the number of billing period days," HHH MAC Palmetto GBA explains on its website. The solution: CMS has told contractors to hold hospice claims editing with reason code 31503, Cahaba and Palmetto tell providers. A system fix will be installed April 4. After the fix is installed, contractors will release the held claims. But hospices will need to resubmit any claims that were incorrectly RTP'd by this edit, the contractors say.
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