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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 U5150

Description:

A hospice claim was received; however, no Notice of Election (NOE) is on file.

Resolution:

Before submitting the hospice claim, use FISS Option 12 to verify the NOE has been submitted and processed. To be considered processed, an NOE must appear in status/location P B9997.

Example: The NOE has been submitted, but did not process; it appears in the return to provider (RTP), status/location T B9997.

U5150

  • Never submit an NOE and claim on the same day.
  • Using FISS Option 12 (Claims), verify the ADMIT DATE on the NOE and claim are the same.

U5150

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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