When the hospice bills a PPV/Medicare Pneumococcal/Influenza claim to Medicare and it approves, their monthly claim is Returned to Provider (RTP) with Reason Code U5601. The reason code states a date of service overlap of a previously accepted claim. Palmetto GBA is currently researching this issue. Due to the difference in reimbursement amounts, it is recommend a hospice bill their monthly claims and hold their Pneumococcal/Influenza claims until further direction is received.
Hospice Claims Returned to Provider (RTP)