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Edit / Error Knowledge Base > Select Edit Range > 00701 to 00800 >

 

Edit 00782

FOR ACUTE DRG CLAIMS THE DISCHARGE DATE MUST BE AFTER END DATE

HIPAA Claim Adjustment Reason Code: 16
            Remark Code: N50
HIPAA Healthcare Claim Status Code: 190
            Entity Identifier Code: N/A

Potential Causes:
The discharge status code is indicating a discharge and the discharge date and the end date of service are not the same date. If a discharge occurred the end date of service and the discharge date must be the same.


Solution:
Check to ensure the status code is correct. If a discharge did occur, then the end date of service on the header and the discharge date must be the same date.





 

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