Home Health & Hospice Week
Industry Note:
Refile RAPs For Claims Booted In Error For PECOS
Published on Thu Jun 07, 2012
If you had claims that received reason code 32072 before the PECOS edit was turned off, you'll need to take action on them. That reason code states "FOR HOME HEALTH CLAIMS (32X AND 33X) THE ATTENDING PHYSICIAN ON THE PECOS PHYSICIAN FILE HAS A TERMINATION DATE PRESENT AND IT IS EQUAL TO OR LESS THAN THE CLAIM FROM DATE OF SERVICE." HHH Medicare Administrative Contractor Palmetto GBA adjusted final claims affected by this problem, but canceled such Request for Anticipated Payment (RAP) claims, it reports on its website. Now agencies need to refile those RAPs, Palmetto directs.
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