13314

FISS Narrative
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.

Or

This is a SNF, and the occurrence span code 80 (prior same-SNF stay) from date is greater than the claim admission from date.

  • Online users make corrections and press F9 to update the claim
  • All other providers make correction to the claim and return to Intermediary

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.

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

Click to Chat Now