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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 Part A
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 Part A 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 Part A 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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3194711/21/2014
3720411/21/2014
3720511/21/2014
3803811/21/2014
3820011/21/2014
3901111/21/2014
3992911/21/2014
53NCD/54NCD11/21/2014
5550311/21/2014
C701011/21/2014
C708011/21/2014
C756511/21/2014
U523311/21/2014
W702711/21/2014
W704011/21/2014
Reason Code U680509/22/2014
Reason Code U682509/22/2014
Reason Code 1150305/15/2014
Reason Code 1170105/15/2014
Reason Code 1220505/15/2014
Reason Code 1220605/15/2014
Reason Code 1230205/15/2014
Reason Code 1250505/15/2014
Reason Code 1281105/15/2014
Reason Code 1281805/15/2014
Reason Code 1282H05/15/2014
Reason Code 1331405/15/2014
Reason Code 1359905/15/2014
Reason Code 1461005/15/2014
Reason Code 1461A05/15/2014
Reason Code 1520205/15/2014
Reason Code 1570105/15/2014
Reason Code 1680605/15/2014
Reason Code 1770105/15/2014
Reason Code 1780105/15/2014
Reason Code 1940105/15/2014
Reason Code 3090505/15/2014
Reason Code 3091205/15/2014
Reason Code 3094905/15/2014
Reason Code 3095505/15/2014
Reason Code 3102305/15/2014
Reason Code 3109405/15/2014
Reason Code 3125505/15/2014
Reason Code 3125605/15/2014
Reason Code 3125705/15/2014
Reason Code 3125905/15/2014
Reason Code 3126505/15/2014
Reason Code 3130005/15/2014
Reason Code 3132405/15/2014
Reason Code 3134605/15/2014
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last updated on 11/01/2014
ver 1.0.51