Reason Code: 7C625

Error Description:

Hospice: Status is 01. Check discharge reason and OC.

Avoiding/Correcting This Error

Hospice – Clarify reason for discharge. Claim is being returned for one of the following reasons:

• Remarks are not present or do not indicate valid reason for discharge/transfer.
• Remarks indicate beneficiary is deceased, therefore patient status 01 (Discharged to home or self-care) is invalid.
• Invalid type of bill (812, 822, 813 or 823) used with patient status 01, should be 811, 821, 814 or 824).
• OC 42 date, thru date on claim and/or date entered in remarks are not the same.
• If the beneficiary moved out of service area with a transfer, patient status should be 50 or 51. Do not report OC 42.
• If the beneficiary revoked or discharged to a VA hospital, remarks must state "revoked or discharged to a VA hospital" and the applicable date. The date in remarks must be equal to the OC 42 date and thru date of claim.
• If the beneficiary moved out of service area (without a transfer) remarks must indicate beneficiary moved out of service area (without a transfer) and the applicable date. Condition Code (CC) 52 must be present. Do not report OC 42.
• If the beneficiary discharged for cause, remarks must indicate beneficiary discharged for cause with the appropriate date and CC H2 must be present on the claim. Do not report OC 42.
• OC 42 is present and remarks are not equal to "beneficiary revoked" or "discharged to a va hospital."