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Home Health & Hospice Week

Industry Notes:

Watch Out For These New Hospice RTP Codes

Published on Tue Jan 26, 2010

Are you reporting the new required data on your hospice claims? Now that hospices must report additional claims detail for visits with the appropriate revenue codes and HCPCS codes, there are also new reason codes for related returned to provider (RTP'd) claims. New reason code 31428 indicates that "this claim contains a hospice discipline revenue code (42x, 43x, 44, 55x, 56x, or 57x) that does not have the corresponding HCPCS code (G0151, G0152, G0153, G0154, G0155, or G0156)," regional home health intermediary Cahaba GBA explains. New reason code 31429 indicates that "this claim contains a hospice discipline revenue code 569, but does not have the corresponding HCPCS code G0155," the intermediary says on its Web site. The codes will appear on claims dated Jan. 1 or later that don't contain the required information, Cahaba adds. More details about the claims requirements are at www.cms.hhs.gov/MLNMattersArticles/downloads/MM6440.pdf. • DME suppliers have more [...]
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