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Erroneous Denial of Routine Home Care Claims

March 29, 2017

The Department of Health Care Services (DHCS) identified a claims processing issue causing some claims billed with revenue codes 0651 (routine home care), 0652 (continuous home care) and 658 (room and board) to erroneously deny with Remittance Advice Details (RAD) code 0168: More than one type of hospice care is not payable for any recipient on the same or overlapping dates of service.

DHCS will notify providers when the issue is resolved. Providers should continue to submit claims in a timely manner and are encouraged to check the Medi-Cal website for updates regarding the issue.