Hospice medical review top denial reason dodes: Q4 2024
03/24/25 at 03:00 AM
Hospice Medical Review Top Denial Reason Codes: Q4 2024 [Palmetto GBA]
Palmetto GBA press release; 3/17/25
We encourage all providers to review this information when filing claims to prevent denials and to ensure their claims are processed timely. The following information affects providers billing 81X bill types.
- 5CF36 Not Hospice Appropriate
- 56900 Auto Denial — Requested Records not Submitted
- 5CNER The Notice of Election Is Invalid Because It Doesn't Meet Statutory/Regulatory Requirements