Production Alert Details

[UPDATE] Hospice Claims Rejected with Reason Code 17729

Date Reported:
08/12/2024
Date Updated:
08/12/2024
Date Resolved:
08/05/2024
Status:
Open
Provider Types Impacted:

Part A hospice providers in Jurisdiction K and Jurisdiction 6

Reason Code(s):
17729
Claim Coding Impact:
N/A

Description of Issue

Claim rejections for TOB 081X and 082X with RC 17729 have occurred due to a file error. These claims did comply with CMS-required entry of the correct certifying physician in the “Attending” field, which did match the PECOS Enrolled Physicians File and did fall within a physician’s effective/termination dates. This error occurred on claims with “From” dates on or after 6/3/2024.

Update: FISS changes to allow NPs and PAs as hospice attending physicians will be sent with C13531A. These changes will be installed to production on 11/18/2024. Until then, RC 17729 will assign incorrectly.

National Government Services Action

National Government Services will await further CMS instructions on impacted claims.

Provider Action

No provider action is needed. Please continue to monitor this site for additional updates.

Proposed Resolution/Fix

11/18/2024