Home Health & Hospice Week

You can expect to wait for final adjudication of claims denied with reason code V8030. “Some home health claims with dates of service on or after October 1, 2013 that contain reason code V8030 have been paid and/or reported incorrectly,” the Centers for Medicare & Medicaid Services says in its MLN Connects newsletter. Therefore, Medicare Administrative Contractors will hold home health claims with Reason Code V8030, a date of service of Oct. 1, 2013 or later, a value code equaling 64, and a value code equaling 17.

“Once a systems fix has been implemented, these claims will be processed,” CMS says. “No action is required by home health providers.”