How To Fix Remark Code M1009 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N812 means that the start service date through end service date cannot span greater than 18 months. This code is used to indicate that the timeframe for the services provided exceeds the allowed limit, resulting in denial or adjustment of the claim.

1. Description

Remark Code N812 indicates that the start service date through end service date cannot span greater than 18 months. The official description states: ‘The start service date through end service date cannot span greater than 18 months.’ This requirement is in place to ensure timely and accurate billing, as well as to prevent potential fraud or abuse.

2. Common Reasons

1. Services were provided over an extended period: This may occur when a patient receives ongoing treatment or when services are scheduled sporadically over a long duration.
2. Incorrect date range entered: Human error or system glitches can lead to incorrect date ranges being entered, resulting in claims that span beyond the allowed timeframe.
3. Delayed submission of claims: If claims are not submitted in a timely manner, the date range may exceed the 18-month limit.

3. Next Steps

1. Review the date range: Verify that the start service date and end service date fall within the allowed 18-month timeframe.
2. Adjust the date range if necessary: If the date range exceeds 18 months, revise the dates to ensure compliance.
3. Resubmit the claim: Once the date range has been corrected, resubmit the claim for processing.

4. How To Avoid It

1. Monitor service dates: Keep track of the start and end service dates to ensure they fall within the allowed timeframe.
2. Submit claims promptly: Avoid delays in claim submission to prevent the date range from exceeding 18 months.
3. Double-check date entries: Take extra care when entering service dates to avoid errors that could result in claims spanning beyond the allowed timeframe.

5. Example Cases

1. Case 1: A claim is denied because the services provided spanned 20 months, exceeding the allowed timeframe of 18 months.
2. Case 2: A claim adjustment occurs due to an error in the date range, resulting in a span of 19 months instead of the allowed 18 months.

Source: Remittance Advice Remark Codes