Skip to Main Content

Print | Bookmark | Email | Font Size: + |

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.

Search by:

Reason Code U5106

Description:

Hospice elections and benefit periods are posted to the Common Working File (CWF) when notice of elections (NOEs) and/or claims are processed. When another hospice NOE is submitted that overlaps the election/benefit period posted to CWF, including a duplicate NOE, the NOE will receive reason code U5106.

Resolution:

  • Ensure that the NOE you are submitting is not a duplicate of a previously submitted/processed NOE. Use FISS Option 12 to check for previously submitted NOEs. Refer to the FISS DDE Guide, Chapter Three: Inquiry MenuPDF for information about Option 12.
  • Before submitting an NOE (81A or 82A), review the beneficiary's hospice benefit periods on ELGH Page 19 or ELGA Page 18. Ensure the Admit Date on the NOE you are submitting does not fall within the START DATE and TERM DATE of the benefit period on ELGH/ELGA. Refer to the FISS DDE Guide, Chapter Two: Checking Beneficiary EligibilityPDF for information about ELGH/ELGA.

    U5106

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.

spacer

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