Search Results - NGSMEDICARE

Posting Date: 01/25/2025

55H1S

Avoiding/Correcting This Error Include all face-to-face encounter attestations for the third benefit period and after with your medical record submission to the ADR. Ensure that the CMS requirements for the face-to-face encounter have been met [...]

Posting Date: 01/25/2025

U5601

Avoiding/Correcting This Error Verify the dates of service on your claim. If the information on your claim is correct, contact the other provider to have them correct their claim. If the information on your claim is incorrect, resubmit your [...]

Posting Date: 01/25/2025

U5233

Avoiding/Correcting This Error Collect all insurance information from the beneficiary when admitted to your HHA. Talk to the beneficiary about insurance changes and check CWF before billing Medicare. Many times a claim will overlap an MAO [...]

Posting Date: 01/25/2025

U5113

Avoiding/Correcting This Error The 8xB (NOTR) transaction should only be submitted when the beneficiary revokes the hospice benefit or is discharged alive and there is no final claim in the system indicating termination of the hospice benefit. [...]

Posting Date: 01/25/2025

31644

Avoiding/Correcting This Error Hospice room and board denials should be submitted as non-covered charges with revenue code 0659, HCPCS A9270, and the ‘GY’ modifier. Review the information submitted on your claim, correct, and resubmit.

Posting Date: 01/25/2025

32005

Avoiding/Correcting This Error No dates of service prior to the provider effective date can be billed to Medicare. Verify the dates of service billed on your claim are on or after the agency’s Medicare effective date, correct and resubmit.

Posting Date: 01/25/2025

U537I

Avoiding/Correcting This Error All dates of service reported on a period of care claim must be on or after the date of admission. Verify the from and through dates billed and all line item dates of service to ensure the dates are within the [...]

Posting Date: 01/25/2025

U523A

Avoiding/Correcting This Error This reason code is a notification to the provider of a VBID patient. For more information, including calendar-year specific downloadable lists of service area PBPs and contact information, please refer to the [...]