Palmetto GBA has published a list of hospice certification errors and how to avoid the errors. We encourage hospice to review this article to prevent being denied certification.
Common errors include:
5FFH2 -No certification present
The claim has been fully or partially denied, as the documentation submitted for review did not include a certification of terminal illness to cover the dates of service billed.
5FFH4 – Initial certification not signed
5FFH5 – Subsequent certification not signed
The services billed were not covered because the documentation submitted for review did not include an initial certification that was signed by both the medical director and attending physician (initial certification) or medical director subsequent recertification)