tci Part B Insider - 2003 Issue 15

Medicare Unveils Dozens Of New Remark Codes

Soon when your carrier denies your claim, you'll have more information about why it went down in flames.  The Centers for Medicare & Medicaid Services unveiled dozens of new remittance advice remarks and reason codes for carriers to use in clarifying why they sent a claim back to the provider. The codes may provide more insight into what went wrong with a claim - or just add to your bafflement. Among the most significant additions for physicians are:   N160, the beneficiary/patient must choose an option before this supply/service are covered   N161, this supply/service/drug is covered...

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