Top Claim Submission Errors for Home Health Providers: Error 31790
Reason for error: Due to data reporting requirements in Change Request 8136
, for episodes beginning on or after July 1, 2013, home health agencies must report the HCPCS code Q5001, Q5002, or Q5009 to indicate the location of where services were provided.
| HCPCS Code | Definition |
|---|---|
| Q5001 | Care provided in patient's home/residence |
| Q5002 | Care provided in assisted living facility |
| Q5009 | Care provided in place not otherwise specified (NO) |
Claims Processing Result: Return to Provider (RTP)
How to prevent/resolve:
- Report the HCPCS code indicating the location of service along with the 1st billable visit in the HH PPS episode.
- Report the HCPCS code only once on a claim unless the location changes.
- Report the HCPCS code on an additional line item with the revenue code and date of service, one unit, and a nominal charge.

- If the location changes, report a new line item with the appropriate HCPCS code along with the 1st visit provided in the new location.

Updated: 02.11.16

