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Update: Correction for Erroneously Denied Hospice Room and Board Claims

October 19, 2016

A previously published NewsFlash notified providers that, as of June 1, 2016, the issue causing claims billed with revenue code 658 (room and board) to erroneously deny with Remittance Advice Details (RAD) code 0012: Medi-Cal benefits cannot be paid without proof of payment/description of the denial from Medicare has been corrected. Reimbursement for these claims has been confirmed.

Providers may rebill claims affected by this issue. Affected claims that are not rebilled by December 1, 2016, will be reprocessed via an Erroneous Payment Correction (EPC).