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Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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Jurisdiction 11 Home Health and Hospice
Claims Submission Error Help

Understand Reason Codes on Medicare Claims!

Preventing and knowing how to resolve Claim Submission Errors by understanding the reason codes will help expedite the processing of your claims and may save time and money.

As a Medicare provider you are responsible for ensuring the information submitted on your claims is correct and compliant with Medicare regulations. You should be aware that action may be taken when you demonstrate a pattern of submitting claims inappropriately, incorrectly or erroneously.

To assist providers with this effort, the Jurisdiction 11 Home Health & Hospice Claims Submission Error Help tool has been updated. Palmetto GBA created the tool which includes resources for assisting in resolving and preventing the top claim submission errors made by Medicare providers. Providers can access reasons for errors and tips for correcting claims in plain language. Providers may notice that when accessing reason code descriptions in the Fiscal Intermediary Shared System (FISS) or Direct Data Entry (DDE), the narrative may include descriptions for all applicable bill types.

The Claims Submission Error Help tool has been tailored to include narrative language applicable to all HHH bill types. Providers can either scroll through reason codes in numerical order or use the Palmetto GBA search engine to search by reason code.

Data analysis reports generate the top fifteen claim submission errors made by J11 providers. All codes on the Claims Submission Error Help Tool are reviewed quarterly for accuracy. Codes are added, updated or removed based on data analysis reports. 



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Reason Code U680509/22/2014
Reason Code U682509/22/2014
Reason code 3201805/15/2014
Reason Code 1150107/18/2013
Reason Code 1180107/18/2013
Reason Code 1210007/18/2013
Reason Code 1210207/18/2013
Reason Code 1359907/18/2013
Reason Code 1461A07/18/2013
Reason Code 1570107/18/2013
Reason Code 1650107/18/2013
Reason Code 1920107/18/2013
Reason Code 1950407/18/2013
Reason Code 3072007/18/2013
Reason Code 3090807/18/2013
Reason Code 3091207/18/2013
Reason Code 3091407/18/2013
Reason Code 3092807/18/2013
Reason Code 3094907/18/2013
Reason Code 3101807/18/2013
Reason Code 3114707/18/2013
Reason Code 3128207/18/2013
Reason Code 3131307/18/2013
Reason Code 3141807/18/2013
Reason Code 3142807/18/2013
see 25 | see 50 | see 100 Next Page >>

 

last updated on 12/01/2014
ver 1.0.51