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July 21, 2020

Reason Code 34982: Occurrence Code 50 Reminder

Under the Home Health Patient-Driven Groupings Model (PDGM), all final claims (type of bill 329) with From dates of service on or after January 1, 2020, must include the occurrence code 50 and the date the OASIS assessment corresponding to the period of care was completed (OASIS item M0090). If occurrence code 50 is not reported, the claim or adjustment is sent to the return to provider (RTP) status/location T B9997 with reason code 34982 for you to correct.

For the period from January–June 2020, there has been 2,065 claims go to RTP with reason code 34982.

Before submitting your final claim, it is important that you ensure the occurrence code 50 and the appropriate date is reported on the claim. Please share this information with your billing staff.

For additional information, refer to the following resources:

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