Skip to Main Content

Print | Bookmark | Email | Font Size: + |

November 17, 2015

Standard Denial Reason Code Statements

The Centers for Medicare & Medicaid Services (CMS) has provided Medicare Administrative Contractors (MACs) with over 80 detailed denial reason code statements for use when adjudicating home health and hospice claims. Therefore, home health and hospice providers will begin to see these detailed denial reason codes beginning December 1, 2015. Reason code narratives can be viewed in the Fiscal Intermediary Standard System (FISS) by accessing the Inquiry Menu and selecting Option 17 – Reason Codes, or by pressing F1 from a claim page.

Please share this information with your appropriate staff.

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved