Reason Code 5H501: Billed in Error

Published 05/22/2019

The service(s) billed (was/were) not covered because, according to the documentation in the medical record, the Skilled Nursing Facility has made a billing error. Therefore, no Medicare payment will be made. The Skilled Nursing Facility may not charge the beneficiary for service(s) that (was/were) billed in error.

To Prevent This Denial
Ensure that all charges for accuracy/timeliness prior to submitting the final bill to Medicare. Check to ensure that all documentation submitted in response to the ADR corresponds to the service(s) rendered and the dates of service(s) billed.

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