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Printed Date: 9/22/2015
When this reason code is received on an inpatient hospital or inpatient Skilled Nursing Facility (SNF) claim (TOB 11x, 21X or 18x), it typically means that a discrepancy exists between the covered days billed and the covered accommodation units billed.
Accommodation units are recognized as revenue codes 010x-021x, excluding 018x (leave of absence) and 019x (sub-acute care).
Resources and Tips to Avoid or Correct RTP Claim
Verify the covered days and that the accommodation unit/revenue code lines are billed appropriately. Examples of billing issues include:
SNF Specific Resources and Tips:
To correct the RTP claim, make the necessary corrections and resubmit the claim.
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Last Updated: 12/27/2018