RESOLVED: Hospice Certifying Physician Claim Edit, Occurrence Code (OC) 27 Placement, Reason Code 17729

Published 08/27/2024

RESOLVED: Hospice Certifying Physician Claim Edit, Occurrence Code (OC) 27 Placement,
Reason Code 17729
Current Status Date  
Update August 27, 2024 Status: On August 12, 2024, this issue was fixed. The system now will read OC 27 and associated date if placed in any position/field of the OC section of the claim.

Provider Action: Hospices shall adjust claims that using the adjustment direction in Reason Code 17729. The positioning of OC 27 and date does not need to be changed due the fix. 

Please state in the remarks “Reason Code 17729 Occurrence Code 27 Placement System Issue.”

Issue Description
Prior to August 12, 2024, Reason Code 17729 assigned incorrectly when an occurrence code (OC) other than 27 is entered in the first position/field of the OC section of the claim. The date associated with the first OC was used instead of the OC 27 date and may not have met the edit’s date requirements. OC 27 reports the date of hospice certification or re-certification on claims. Hospices that entered OC 27 and the associated date first on claims would not have this issue. 

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