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How will the system handle claims submitted with a HIPPS code indicating non-routine supplies (NRS) were provided, but are not billed on the claim?

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Home health claims submitted with a HIPPS code that indicates NRS were provided; however, the NRS are not billed on the claim will be returned to provider (RTP) for correction with reason code 31147. Providers are encouraged to verify this information prior to submitting the claim to Medicare to ensure there is consistency between it and the information billed on the claim. For example, if HIPPS code 1AFKS is submitted, revenue code 027X or 0623 must be present on the claim. By contrast, HIPPS code 1AFK1 would not require a revenue line item for supplies on the claim. (October 2007 – Reviewed Jan.

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