From MHPCA: Notice from CGS about certain claims with reason code E94G2

[Jane Moore]

 

Please Review the following information from CGS:

 

HOME HEALTH AND HOSPICE   E 94G2

 

2/21/2017 – Some home health and hospice claims are suspending with reason code E94G2 in status/location S M90PP. FISS is incorrectly applying the reject reason code 32352 and changing the type of bill from 329 to 320.

 

2/21/2017 – Home health and hospice claims affected by this issue are suspending in status/location S M90PP with reason code E94G2.

 

2/21/2017 – The CGS Technical team is researching this issue. CGS Claims staff are manually working the claims to continue processing. Please note, according to the Medicare Claims Processing Manual (Pub. 100-04, Ch. 1, §80.2.1.1) Medicare contractors have 30 days to process clean claims.

 

http://www.cgsmedicare.com/hhh/claims/FISS_Claims_Processing_Issues.html

 

Jane Moore

CEO

Missouri Hospice & Palliative Care Assn.

600 Monroe Street

Suite 300

Jefferson City, MO  65101

Phone 573-634-5514

Fax 573-635-0659

Ja...@mohospice.org

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