Hospice Claims Returned in Error for Edit U5181

Some hospice claims are being returned in error for edit U5181 when the timely certification date falls within a reported provider liability period for a late notice of election (NOE) filing. Until the system is corrected, hospices receiving this edit in error should change the occurrence code 27 date to the date following the occurrence span code 77 period. This instruction applies only to cases of a timely certification or recertification falling within a late NOE where an exception has not been requested.

From MLN Connects a publication of CMS.gov