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Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update

The following new Claim Adjustment Reason Codes were approved by the Code Committee in October, and must be implemented, if appropriate, by April 2, 2012.

New Codes ñ CARC:

CodeCurrent NarrativeEffective Date
238 Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period (use Group Code PR). 3/1/2012
239 Claim spans eligible and ineligible periods of coverage. Rebill separate claims (use Group Code OA).3/1/2012

Modified Codes ñ CARC:

CodeModified NarrativeEffective Date
18Exact duplicate claim/service (Use with Group Code OA).1/1/2013

Deactivated Codes ñ CARC:

CodeCurrent NarrativeEffective Date
141Claim spans eligible and ineligible periods of coverage.7/1/2012

Remittance Advice Remark Codes (RARC):
Under HIPAA, all payers, including Medicare, have to use reason and remark codes instead of proprietary codes to explain any adjustment in the claim payment. CR7683 contains no new, modified, or deactivated RARC codes.


SOURCE: Source
INDUSTRY NEWS TAGS: CMS


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