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  • Posting Date: 10/25/2024
    38037

    Avoiding/Correcting This Error Providers should develop and implement a process to ensure that duplicate claims are not being submitted. Verify the ‘from’ and ‘through’ dates, provider number, revenue codes, HCPCS codes and diagnosis codes [...]

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  • Posting Date: 10/25/2024
    38054

    Avoiding/Correcting This Error Verify the claim history to determine the period of care claim that is causing the overlap If there are services that should have been included on a processed/paid claim, you must submit an adjustment (3X7 [...]

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  • Posting Date: 10/25/2024
    38055

    Avoiding/Correcting This Error Verify the claim history using the FFS/DDE Provider Online system, your remittance advice and/or the CWF to determine the episode claim that is causing the overlap If there are services that should have been [...]

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  • Posting Date: 10/25/2024
    38200

    Avoiding/Correcting This Error This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system. If the NOA and claim were submitted at the same time, and no [...]

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