Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
For occurrence span code 70 (qualifying stay date) the 'from' date is greater than the 'through' date.
Verify the qualifying stay thru date (reported with Occurrence Code 70) is greater than the admission date of the claim.
This is a SNF, and the occurrence span code 80 (prior same-SNF stay) from date is greater than the claim admission from date.
Guidelines and Suggestions
On most of the claims receiving this reason code, the admission date billed on the claim is before the Qualifying Stay Date (occurrence code 70), which is incorrect. It appears that an 'old' (prior) admit date is being used rather than the admit date that relates to the 'from' and 'through' dates on the current claim. Please review the Admit date, the Qualifying Stay date and the From and Through date on the claim to assure that the appropriate, current dates are being used and that they are in the proper sequence.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 12/27/2018