Reason Code: 38054

Error Description:

Home Health: This home health claim was submitted as a Medicare primary claim and contains service dates which overlap a previously submitted claim for the same provider with at least one matching revenue code.

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 bill type) to add any services not originally included on the claim
• All services provided to a beneficiary within the home health period of care must be submitted on one claim