tci Medicare Compliance & Reimbursement - 2016 Issue 16

Industry Note: Medicare Claims System Fix On Deck

A claims system correction should clear up returned and held claims due to an error in the July system update. The problem:The Centers for Medicare & Medicaid Services (CMS) has identified two glitches, Home Health & Hospice Medicare Administrative Contractor Palmetto GBA reports: Reason Code 31698 (Claims with a Type Of Bill [TOB] equal to 322 or any TOB other than 32x with Condition Code 54) is set to Return to Provider (RTP); and Reason Code 31699 (Claims with a TOB 32x other than 322, from date not equal to admission date, Revenue Code 42x, 43x, 44x or 55x...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.