Home Health Medical Review Top Denial Reason Codes: Q4 2024

Published 03/17/2025

Medical Review Top Denial Reason Codes for Home Health from October to December 2024

We encourage all providers to review this information when filing claims to prevent denials and to ensure their claims are processed timely. The following information affects providers billing 32X bill types.

Total 32X Bill Type Denials: 1,546

Table 1. Total 32X Bill Type Denials.
Rank Denial Code Denial Description # Claims % Claims Denied
1 56900 Auto Denial — Requested Records Not Submitted 688 44.5
2 5F023 No Plan of Care or Certification 425 27.5
3 5FF2F Face-to-Face Encounter Requirements Not Met 194 12.5
4 5F070 Visits/Supplies/DME Billed Not Documented or Not Documented As Used 73 4.7
5 5T070 Visits/Supplies/DME Billed Not Documented or Not Documented As Used 34 2.2
6 5A301 Information Provided Does Not Support the M/N for Therapy Service 27 1.7
7 (tie) 5F301  Information Provided Does Not Support the M/N for Therapy Service 26 1.7
5T072 No Physician's Orders for Services 26 1.7

Was this article helpful?