RESOLVED: Claims Suspended with Reason Code 31716

 Current Status
10/31/2018: Resolved. Palmetto GBA implemented the quarterly files associated with Change Request 10802 on October 22, 2018. All suspended claims with reason code 31716 in status/location S MOSUG were released and processed.

Situation:
The quarterly competitive bid files associated with
Change Request (CR) 10802 (PDF, 44 KB) were not implemented on October 1, 2018. The implementation will now occur on October 22, 2018. Home Health and Hospice claims that edit for Reason Code 31716 will be suspended in location S MOSUG. The Medicare Administrative Contractors will add Condition Code 15 prior to releasing them for adjudication, once the October quarterly files are implemented on October 22, 2018.

Impact to Providers:
Certain claims may be suspended until quarterly files are implemented on October 22, 2018.

Status:
10/31/2018: Resolved. Palmetto GBA implemented the quarterly files associated with Change Request 10802 on October 22, 2018. All suspended claims with reason code 31716 in status/location S MOSUG were released and processed.

10/3/2018 - Home Health and Hospice claims that edit for Reason Code 31716 will be suspended in location S MOSUG. No provider action is needed.

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