Reason Code 37160 - Outpatient Claims

Reason Code 37160 — Outpatient Claims
Current Status
Date
 
Update
June 30, 2020
Status: There is no resolution to this problem at this time. CMS is aware of the issue and is working to resolve. 
Provider Action: No provider action is required at this time.  
Date Identified
June 23, 2020
Issue 
Outpatient claims with DOS on or after 1/1/2020 are hitting Reason Code 37160 in error. At this time, payments are on hold until correct reimbursements can be made using the FY 2020 wage index.

 

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