Home Health Medical Review Top Denial Reason Codes: Q2 2025

Published 08/20/2025

Medical Review Top Denial Reason Codes for Home Health from April to June 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: 1,065

Table 1. Total 32X Bill Type Denials
Rank Denial Code Denial Description # Claims % Claims Denied
1 56900

Auto Denial — Requested Records Not Submitted

406 38.1
2 5F023

No Plan of Care or Certification

314 29.5
3 5FF2F

Face-to-Face Encounter Requirements Not Met

167 15.7
4 5T072

No Physician's Orders for Services

30 2.8
5 5F301

Information Provided Does Not Support the M/N for Therapy Service

29 2.7
6 5T070

Visits/Supplies/DME Billed Not Documented or Not Documented as Used

25 2.3
7 5A301

Information Provided Does Not Support the M/N for Therapy Service

24 2.3
8 5F070

Visits/Supplies/DME Billed Not Documented or Not Documented as Used

22 2.1
9 5F072

No Physician's Orders for Services

16 1.5
10

5F041

Info Provided Does Not Support the M/N for This Service

10 0.9

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