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Palmetto GBA released an update on hospice claims that are being returned to providers in error with the reason code 36188. CMS has issued Change Request (CR) 9042 to correct the issue (scheduled to be released in July 2015). In the meantime, hospices can remove the Value Code 78 and amount from the claim and resubmit the claim through the DDE system. 

 

 

From Palmetto GBA: 

Impact to Providers: 
The Fiscal Intermediary Standard System (FISS) is inserting Value Code 78 and an amount on Hospice claims that contain the Service Facility National Provider Identifier (NPI), name and address in the 2310E Loop and segments. The FISS is returning the claims to the provider with reason code 36188.

Status:
CMS issued Change Request (CR) 9042 on January 30, 2015, to correct the issue. CR 9042 is scheduled to be implemented during the July 2015 quarterly system release. Until the system release is implemented and the issue is resolved, hospices can remove the Value Code 78 and amount from the claim and resubmit the claim through the Direct Data Entry (DDE) system.

You can read the full article here