Last Modified: 10/24/2011
Location: FL, PR, USVI
Business: Part A
32206
The revenue code is invalid for this type of bill.
Resources/tips to avoid or correct this return to provider (RTP) code
Verify the revenue code submitted on your claim.
• In direct data entry (DDE)
, choose option -1 (inquiries), and option -13 (revenue codes). Key in the revenue code and press enter. The revenue code table inquiry screen shows the following columns of information:
• Type of bill (TOB)
• Allow: Effective-Date (EFF-DT) and Termination Date (TRM-DT)
• Healthcare Common Procedure Coding System (HCPCS): EFF-DT and TRM-DT
• Units: EFF-DT and TRM-DT
• Rate: EFF-DT and TRM-DT
• When reviewing data on this screen, if there is a "Y" in the 'Allow' field, the revenue code is allowed for the TOB; if a "Y" is in any field with a current effective date, you can submit the code on the claim. Note: When the revenue code file contains a "V", "Y", "F", or "H" in the 'HCPCS' field, the HCPCS code will be validated.
• If there is an "N" or termination date before the date of service, you cannot submit the code on the claim.
• If you do not use DDE, you can review the Centers for Medicare & Medicaid Services (CMS), Internet-only manual (IOM), publication 100-04, chapter 25-Completing and processing the form CMS-1450 data set
.
Correct the claim and resubmit.
Source: FCSO Education Action Team