The part in red would not apply, since the 322 is a RAP and we no longer send those. 

 

Does the service date with the Rev Code 0023 match up with the first date of service you are reporting on your clam?

 

Like this example:

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Friday, March 10, 2023 1:17 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: medicare RTP claims

 

**External Sender**

 

I keep getting medicare claims returned for this reason:  IF THE ADMISSION DATE OF THE 3X2 CLAIM IS EQUAL TO THE STATEMENT FROM DATE, THEN THE EARLIEST 0023 REVENUE CODE LINE DATE SHOULD ALSO EQUAL -OR- REVENUE CODE 0023 WAS NOT FOUND ON THE CLAIM -OR- EFFECTIVE ON OR AFTER 7/01/01 AND THE CLAIM IS A FINAL BILL (3X9) EACH 0023 REVENUE CODE SERVICE DATE MUST ALSO CONTAIN A VISIT SERVICE DATE FOR THE 0023REVENUE CODE. MAKE THE NECESSARY CORRECTIONS AND RESUBMIT.

 

The problem I have is usually a final claim on a discharged patient.  Has anyone else been having this issue?  Did something change in how medicare wants their claims?

 

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Emailcrisa.mortenson@kmhc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

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