Reason Code: 38055

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 using the FFS/DDE Provider Online system, your remittance advice and/or the CWF to determine the episode claim that is causing the overlap
• If there are services that should have been included on a processed/paid episode claim, you must submit an adjustment (3X7 bill type) to add any services which were not originally included on the claim
• All services provided to a beneficiary within the home health episode must be submitted on one claim.