Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when there is no corresponding OASIS assessment found related to the claim. CGS has posted a helpful guide to dealing with this issue. Click here to read their guide. For more information on reason code 37253, also see this useful article from Palmetto GBA.
Optima Billing Services LLC > Provider News and Updates > Home Health Billing > Addressing Claims with Reason Code 37253: A Helpful Article from CGS