Home Health Reason Code 37253 – Claims Returned to Provider (RTP) Due to OASIS Assessment Not Found

Current Status: Open

Date: 1/11/2021

Status: This issue is being resolved by the MACs and iQIES. Palmetto GBA will reprocess claims incorrectly Returned to Provider (RTP) for the missing OASIS information (reason code 37253).

Provider Action: No provider action is necessary at this time. We will provide updates when applicable.

Issue Description: The MACs did not receive the OASIS file responses from iQIES from 1/4/2021 through 1/8/2021, which may cause claims received or processed during this time period to RTP.

Home Health Reason Code 37253