Home Health and Hospice Top Ten Claim Submission Error Analysis for April Through June 2022

Published 08/03/2022

Claims submission errors are those that result in rejected, denied or incorrectly paid claims. Palmetto GBA reviews data analysis of the most frequent collective claims submission errors to identify aberrancies in billing patterns.

The top ten reason codes for Jurisdiction M (JM) HHH for the second quarter of 2022 (April through June) are listed below. This information will be beneficial in preventing claim submission errors.
 

Denial Code

Claim Count with Denial Code

% Denial to Total with any Denial Code

31947

27,572

20.7

38158

16,645

12.3

38200

12,671

9.5

39929

6,191

4.6

U538F

5,322

4.0

U5233

5,049

3.8

38157

3,731

2.8

U5211

2,716

2.1

39011

1,749

1.8

C7010

2,170

1.6


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