Reason Code 31503

Description
The total units on the level of care lines (0651, 0652, 0655, 0656) do not equal the number of days in the billing period.

Resolution
Ensure the total the number of days (i.e., units) for the level of care lines equals the number of days indicated by the “From” and “To” date on the claim.

In the example below, the “From” and “To” dates reflect 11 days (0520YY–0530YY). However, the revenue code page (FISS Page 02) shows 31 days of routine home care (0651) were billed.

For continuous home care, each 0652 revenue code line is equivalent to one day of care, regardless of the units billed on the 0652 line.

In the example below, the “From” and “To” dates reflect 31 days (1001YY-1031YY). However, the revenue code page (FISS Page 02) shows a total of 32 days (4 routine home care days + 1 day of continuous home care + 27 routine home care days = 32 days) were billed.