Reason Code: 38032

Error Description:

Hospice: This outpatient claim is a duplicate of a previously processed outpatient claim. The following situations exist:

1. The ‘statement covers period’ is the same on both bills
2. Provider numbers are the same
3. At least one revenue code or one HCPCS code is the same on both bills
4. At least one diagnosis code matches on both claims and
5. At least one line item date of service for lab charges is the same on both claims

Avoiding/Correcting This Error

Providers should develop and implement a process to ensure that duplicate claims are not being submitted.

• If the claim is truly a duplicate, no action is necessary.
• If this is not a duplicate and the provider is trying to add information to the original claim, submit an adjustment to the processed claim.