Home Health Claim Rejections Can Be Easy to Fix

Home health agencies are seeing more claims returned due to code ‘N5052: Beneficiary Identification incorrect.’  This means that the beneficiary’s name and/or other personal data in the CWF transaction did not match the data stored on the beneficiary’s master record with CMS.

After the 5010 implementation it is more important than ever to enter the beneficiary’s information exactly the way it appears on the Medicare eligibility check even if other beneficiary information, such as identification, shows a difference in name or other personal data.

Make sure to train office staff and to double-check information before transmission to avoid payment delays.

For tips on Home Health Billing or more info regarding this article, contact Imark Consulting, Inc. at 888-370-3339 or  www.homehealthbilling.com

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