September 22, 2017
Medicare Secondary Payment (MSP) Claims Rejected in Error
CGS provided information on the Fiscal Intermediary Standard System Claims Processing Issues web page about home health and hospice claims being rejected in error with reason codes U6815, U6816, U6817, or U6818. The Centers for Medicare & Medicaid Services (CMS) recently provided instructions for CGS to cancel all the home health Requests for Anticipated Payment (RAPs) that were rejected in error between 6/5/17 through 8/7/17.
Once the RAPs have cancelled, CGS will notify home health providers to resubmit the RAPs.
A system release is scheduled for November 6, 2017, at which time, CGS will initiate adjustments to the claims that were rejected in error. The adjustments will be completed within 45 days after the November system release is implemented.