Medicare announced that as of 1/3/2023, the reason code 31755 has been reactivated. This means that revenue code 0023 line-item date of service MUST match the date of service for the first home health visit on the claim.
For Initial periods of care, the HHA reports on the 0023 revenue code line the date of the first covered visit provided during the period.
For Subsequent periods, the HHA reports on the 0023 revenue code the date of the first visit provided during the period, regardless of whether the visit was covered or non-covered.
Some home health claims are being returned for Reason Code 31755. The majority of the claims being returned are provider billing error and need to be corrected. In Currently HHC 3000, agencies will just needs to use the ‘Wrench” button next to the RAP 1st Billable Visit box within the OASIS Billing Info Screen. This will automatically pull in the first billable visit and pull to your claim.
Please contact us at 1-800-527-7213 if you have any additional questions.