[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573211-105":53,"doc-detail-573211-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","home-health-billing-codes-notice-of-admission-noa","Home Health Billing Codes - Notice of Admission (NOA)","","Home Health Billing Codes provide standardized code selections for completing home health billing. The content covers the Type of Bill (TOB) codes for NOA categories, including start of care, cancellation, nonpayment, adjustment, void/cancel, and final claims. It also lists admission types, points of origin, patient status codes, condition codes, claim change reason/adjustment reason rules for NOA-only use, occurrence codes, and MSP-related value guidance for submitting NOAs with Medicare as primary.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/home-health-billing-codes-notice-of-admission-noa/573211/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Eliana","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"Which TOB codes are used for Home Health Notice of Admission (NOA) scenarios?","Question",{"text":102,"@type":103},"The document lists NOA-related TOB options such as 32A for Notice of Admission (NOA), 32D for cancellation, and several claim-related codes including 320 nonpayment, 327 adjustment, 328 void/cancel, and 329 final claim.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"What rules apply to cancellation and adjustments for NOAs?",{"text":107,"@type":103},"NOAs cannot be adjusted. If information must change on a processed NOA, it must be canceled using 32D and resubmitted to Medicare.",{"name":109,"@type":100,"acceptedAnswer":110},"How should occurrence codes 61 and 62 be handled for home health claims?",{"text":111,"@type":103},"If occurrence codes 61 and 62 are not present, Medicare systems use inpatient claims history to assign institutional payment groups based on the most current information.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},573211,1791934648,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":129,"language":130,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":131,"faqs":132,"seo_title":133,"seo_description":61,"update_tm":119,"read_time":76},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","Home Health Billing Codes   \n\n| Type of Bill (TOB) (FL 4) |  |\n| --- | --- |\n| 32A | Notice of Admission (NOA)\u003Cbr>• Start of Care (SOC) after 01.01.2022 |\n| 32D | Cancellation of Admission • To cancel NOAs only |\n| 320 | Nonpayment Claim |\n| 327 | Adjustment Claim |\n| 328 | Void/Cancel Claim |\n| 329 | Final Claim for Period/Episode |\n| 34X | Outpatient Services |\n| 32Q | Reopening |\n| 32G, 32H, 32I | Contractor Adjustment |\n\n\n| Type of Admission (FL 14) |  |\n| --- | --- |\n| 1 | Emergency |\n| 2 | Urgent |\n| 3 | Elective |\n| 4 | Newborn |\n| 5 | Trauma |\n| 9 | Information Not Available |\n\n\n| Point of Origin/Source of Admission (FL 15) |  |\n| --- | --- |\n| 1 | Non-health Care Facility |\n| 2 | Clinic or Physician/Allowed Practitioner’s Offce |\n| 4 | Transfer from Hospital (Different Facility) |\n| 5 | Transfer from Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF) |\n| 6 | Transfer from Another Health Care Facility |\n| 8 | Court/Law Enforcement |\n| 9 | Information Not Available |\n\nFor specifc NOA billing, refer to the following:  \n•  Billing the Home Health Notice of Admission (NOA) Electronically  \n•  Billing the Home Health Notice of Admission (NOA) via DDE  \nPage 1  \nHome Health Billing Codes   \n\n| Patient Status (FL 17) |  |\n| --- | --- |\n| 01 | Discharge to home or self-care (routine discharge) |\n| 02 | Discharge/transfer to short-term general hospital |\n| 03 | Discharge/transfer to SNF |\n| 04 | Discharge/transfer to ICF |\n| 05 | Discharge/transfer to designated cancer center or children's hospital |\n| 06 | Reported in all cases where the home health agency (HHA) is aware that the period of care will be paid a partial-period payment adjustment. These are cases in which the HHA is aware that the benefciary has transferred to another HHA within the 30-day period. |\n| 07 | Left against medical advice or discontinued care |\n| 20 | Expired (occurrence code 55 also required) |\n| 21 | Discharge/transfer to court or law enforcement |\n| 30 | Still a patient and services continue to be provided |\n| 43 | Discharge/transfer to federal hospital |\n| 50 | Discharge/transfer for hospice services in the home |\n| 51 | Discharge/transfer to hospice services in a medical facility |\n| 62 | Discharge/transfer to inpatient rehabilitation facility (IRF) |\n| 63 | Discharge/transfer to long-term care hospital (LTCH) |\n| 65 | Discharge/transfer to inpatient psychiatric hospital (IPH) or psychiatric unit of a hospital |\n| 66 | Discharge/transfer to Critical Access Hospital (CAH) |\n| 70 | Discharge/transfer to another type of health care institution not defned elsewhere in code list |\n\nPage 2  \nHome Health Billing Codes   \n\n| Condition Code (FL 18-28) |  |\n| --- | --- |\n| 07 | Treatment of non-terminal condition for hospice patient |\n| 20 | Benefciary requested billing (demand denial) |\n| 21 | Billing for denial notice from Medicare (no-pay bill) |\n| 47 | Transfer from another HHA |\n| 54 | No skilled home health visits in billing period |\n| C3 | Expedited review – partial approval of Medicare-covered services |\n| C4 | Expedited review – services denied |\n| C7 | Expedited review – extended authorization of Medicare-covered services |\n\nOnly CC 47 may be used on NOAs. No other CCs shall be reported on an NOA.  \n\n| Claim Change Reason Code (CCRC) (FL 18-28) & Adjustment Reason Code (ARC) |  |  |  |\n| --- | --- | --- | --- |\n| Description | CCRC | ARC | TOB |\n| Change in Dates of Service (DOS) | D0 | OT | 327 |\n| Change in Charges | D1 | OT | 327 |\n| Change in Revenue/HCPCS/HIPPS Codes | D2 | QC | 327 |\n| Cancel to Correct Provider Number/Medicare ID Number | D5 | PN | 328 |\n| Cancel Duplicate or Offce of Inspector General (OIG) Payment | D6 | 32 | 328 |\n| Change to make Medicare the secondary payer | D7 | OT | 327 |\n| Change to make Medicare the primary payer | D8 | OT | 327 |\n| Any Other/Multiple Change(s) (must include remarks) | D9 | OT | 327 |\n| Change in Patient Status | E0 | DS | 327 |\n\nNOAs cannot be adjusted. If information must be chan","cbCaifP7tycddjH3","https://ap.wps.com/l/cbCaifP7tycddjH3","pdf",222187,9,"English","# Type of Bill (TOB) (FL 4)\n# Type of Admission (FL 14)\n# Point of Origin/Source of Admission (FL 15)\n# Patient Status (FL 17)\n# Condition Code (FL 18-28)\n# Claim Change Reason Code (CCRC) & Adjustment Reason Code (ARC)\n# Occurrence Code (FL 31-34)\n# MSP Value Code (FL 39-41)\n# Non-MSP Value Code (FL 39-41)","[{\"question\":\"Which TOB codes are used for Home Health Notice of Admission (NOA) scenarios?\",\"answer\":\"The document lists NOA-related TOB options such as 32A for Notice of Admission (NOA), 32D for cancellation, and several claim-related codes including 320 nonpayment, 327 adjustment, 328 void/cancel, and 329 final claim.\"},{\"question\":\"What rules apply to cancellation and adjustments for NOAs?\",\"answer\":\"NOAs cannot be adjusted. If information must change on a processed NOA, it must be canceled using 32D and resubmitted to Medicare.\"},{\"question\":\"How should occurrence codes 61 and 62 be handled for home health claims?\",\"answer\":\"If occurrence codes 61 and 62 are not present, Medicare systems use inpatient claims history to assign institutional payment groups based on the most current information.\"}]","Home Health Billing Codes - Notice of Admission (NOA) | PDF"]