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Printed Date: 9/22/2015
An Outpatient claim has a "From"/"Through" date that overlaps an inpatient claim and the provider number is different. Or, a home health claim has a detail line item date of service (LIDOS) that overlaps an Inpatient, RNHCI, or SNF claim on history and the provider number is different.
Review patient's eligibility to determine overlapping date. Check for common errors.
If requiring a LIDOS correction:
If charges should be bundled in an inpatient stay:
If requiring a claim adjustment to add 74 occurrence span code:
Resource: CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, chapter 1 (PDF, 1.62 MB), section 50.2.2.
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Last Updated: 12/16/2019