34927

FISS Narrative
For 81x or 82x type of bill, statement from date on or after January 1, 2008, revenue code 055x, 056x or 057x is present, the line item date of service for revenue code 055x, 056x or 057x is not on or after the line item date of service for the associated level of care revenue code (0651, 0652, 0655 or 0656) and prior to the next level of care revenue code.

Explanation and Suggestion
For each revenue code line, a service date is required. For service revenue codes 0651, 0655 and 0656, service date is equal to the earliest date that each level of care was provided at each service location.

Effective for claims submitted on or after April 29, 2010, the date reflects the first date that the level of care began for that consecutive period.

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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