Home Health Medical Review Top Denial Reason Codes: Q1 2025

Published 05/16/2025

Medical Review Top Denial Reason Codes for Home Health from January to March 2025

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: 1,821

Table 1. Total 32X Bill Type Denials.
Rank Denial Code Denial Description # Claims % Claims Denied
1 56900 Auto Denial — Requested Records Not Submitted 706 38.8
2 5F023 No Plan of Care or Certification 573 31.5
3 5FF2F Face-to-Face Encounter Requirements Not Met 254 13.9
4 5F301 Information Provided Does Not Support the M/N for Therapy Service 63 3.5
5 5A301 Information Provided Does Not Support the M/N for Therapy Service 47 2.6
6 5T070 Visits/Supplies/DME Billed Not Documented or Not Documented As Used 46 2.5
7 5F072 No Physician's Orders for Services 29 1.6
8 5F041 Info Provided Does Not Support the M/N for This Service 28 1.5
9 5T072 No Physician's Orders for Services 25 1.4
10 5F070 Visits/Supplies/DME Billed Not Documented or Not Documented As Used 24 1.3

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