PQRS Claims

New Remittance Advice Codes for PQRS Claims-Based Reporting

Effective July 1, 2014, Eligible professionals who bill on a $0.00 Quality-Data Code (QDC) line item will receive the N620 code, which replaces the current N365 code. 

Also, eligible professionals who bill on a $0.01 QDC line item will receive the CO 246 N572 code.

The new RARC code N620 will be your indication that the PQRS codes were received into the CMS National Claims History (NCH) database.

The new RARC N572 with the Claim Adjustment Reason Code 246 (with Group Code CO or PR) indicates that the procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted.

Remember: The new codes will be effective on July 1, 2014. The old codes will be deactivated on the same date.

For more information, please contact the QualityNet Help Desk at 1-866-288-8912 or via qnetsupport@hcqis.org. They are available from 7:00 a.m. to 7:00 p.m. CST Monday through Friday.

Similar Posts

Leave a Reply

Your email address will not be published.