CMS Expands Detail on Home Health, Hospice Denial Reason Codes
December 4, 2015 11:35 AM
The Centers for Medicare & Medicaid Services (CMS) has issued to the Medicare Administrative Contractors (MACs) an updated list containing more than 80 detailed denial reason code statements for use with home health and hospice providers and, effective on December 1, 2015, the MACs will begin to use these codes.
While the list is not yet available on the MAC websites, reason code narratives may be viewed in the Fiscal Intermediary Standard System (FISS) by accessing the Inquiry Menu and selecting Option 17 – Reason Codes, or by pressing F1 from a claim page. An alert on the updated list was first issued by CGS.
As additional information becomes available, it will be published in future issues of NAHC Report.