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August 11, 2017

Return to Provider Reason Code 34961: Present on Admission Indicator

Recently the home health and hospice Provider Contact Center has received calls regarding claims being returned to the provider (RTP) with reason code 34961. Effective August 7, 2017, the Fiscal Intermediary Standard System (FISS) no longer accepts information entered in the POA indicator field for home health and hospice claims. The POA Indicator is a one position field that follows the DIAG CODES field on FISS Claim Page 03. If your claim is in the RTP file (T B9997) with reason code 34961, remove any character that appears in that field. The example below shows the character 'W' in the POA indicator field. We encourage home health and hospice providers to work with their vendor to ensure information is not submitted in the POA indicator field.

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