Urgent- Medicare Denial of Claims for no OASIS record found at CMS

Medicare Final Claims denied with Group Code of CO and Claim Adjustment Reason Code 272 due to no OASIS record found at CMS per Palmetto cannot be resubmitted for payment.
If a denial is received agencies may attempt to appeal the denial if you have documentation to show that the information was sent.
Agencies should not submit final claims for assessments that are 30 days or more from the assessment completion date on the Claim until the OASIS Assessment has been Accepted at CMS. Agencies will need to monitor their CMS Validation Reports to ensure each assessment has been accepted. Please reference MLN Matters article Number SE17009 for additional information.
Following creation of the OASIS XML file and receipt of the CMS Validation Report, agencies can now filter the Create OASIS XML file grid by the CMS Sent date to ensure and document all assessments in the created file were accepted.
Agencies currently have available fields to mark when OASIS submissions have been accepted at CMS by monitoring CMS Validation Reports. Agencies can Mark Accepted via a check box or enter the OASIS Assessment ID from the CMS Validation report from the Create OASIS XML screen by selecting the Accepted button when the assessment is highlighted in the grid, or from the Changes screen accessible through the View button for the OASIS. The Accepted check mark and OASIS Assessment ID entered in the previously identified areas are visible to agency Billing Personnel in the Edit PPS billing screen for each assessment. The PPS Billing Screen will also contain a column displaying an entered OASIS Assessment ID.
Future enhancements to the software to prevent Final claim generation when there is no documentation of OASIS Assessment acceptance at CMS are planned.