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Reason Code Search and Resolution

Disclaimer: This is not a complete list of reason codes.

The Reason Code Search and Resolution tool allows you to view a reason code description and determine how to prevent/resolve the edit. You may search by reason code or keyword. All records matching your search criteria will be returned for your review. You may also select "Show all Reason Codes" to view the complete list.

If the reason code you enter does not display here, you may access any reason code description in the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Reason Codes Inquiry Menu (Option 17) . For additional information, please reference the FISS DDE User Manual.

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Reason Code 39929

Description:

This claim was rejected due to an untimely Notices of Election (NOEs).

Resolution:

Hospices are required to submit NOEs within 5 calendar days after the hospice admission date. In order to be considered timely, the NOE must be submitted to and accepted by CGS within 5 calendar days after the hospice admission.

Important Note: If the NOE is submitted timely, but is returned to the provider (RTPd) for correction, the NOE is not considered to be "accepted" and thus, will result in an untimely NOE. Therefore, it is extremely important that hospices verify the information entered on the NOE before submitting it to CGS. In addition, hospices must verify the patient's eligibility information to reduce the risk of a claim RTPing due to an eligibility issue.

If an NOE is not corrected out of the RTP file (T B9997) within 5 calendar days after the hospice admission date, it is considered untimely.

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.

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