PECOS Claims Edit Update from Palmetto GBA

Palmetto GBA released an announcement that some Medicare providers have been experiencing claims denials with the Reason Code 32072 related to the Provider Enrollment, Chain, and Ownership System (PECOS).

The announcement states:

‘FOR HOME HEALTH CLAIMS (32X AND 33X) THE ATTENDING PHYSICIAN ON THE PECOS PHYSICIAN FILE HAS A TERMINATION DATE PRESENT AND IT IS EQUAL TO OR LESS THAN THE CLAIM FROM DATE OF SERVICE.’

This issue has been reported to Palmetto GBA and, as of April 17, Palmetto states “this reason code edit has been deactivated. Palmetto GBA will advise if provider action is necessary on those  claims that were denied.”

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