How To Fix Remark Code M1019 (RARC) | Common Reasons, Next Steps & How To Avoid It
Remark Code N824 means that electronic visit verification (EVV) data must be submitted through an EVV vendor. This code is used to indicate that the required EVV data was not properly submitted, resulting in denial or adjustment of a claim. Understanding the reasons behind this remark code and taking appropriate steps can help healthcare providers avoid future issues related to EVV data submission.
1. Description
Remark Code N824 indicates that electronic visit verification (EVV) data must be submitted through an EVV vendor. The official description states: ‘Electronic Visit Verification (EVV) data must be submitted through EVV Vendor.’ This requirement was implemented starting from November 1, 2019, to ensure accurate tracking and verification of healthcare services provided.
2. Common Reasons
- Inadequate knowledge of EVV requirements: Healthcare providers may not be aware of the specific EVV data submission process or the necessity of using an EVV vendor.
- Failure to utilize an EVV vendor: Some providers may attempt to submit EVV data through alternative methods or systems that are not recognized by the payer.
- Technical issues with EVV vendor integration: Difficulties in integrating the provider’s systems with the EVV vendor’s platform can lead to incomplete or inaccurate data submission.
- Missing or incomplete EVV data: Failure to include all required information in the EVV data submission can result in claim denials or adjustments.
3. Next Steps
- Ensure compliance with EVV requirements: Familiarize yourself with the specific EVV data submission process and the use of an approved EVV vendor.
- Establish a partnership with an EVV vendor: Select a reliable EVV vendor and integrate their system with your existing processes to ensure seamless data submission.
- Verify the completeness and accuracy of EVV data: Double-check that all required information is included in the EVV data submission to avoid claim denials or adjustments.
- Stay updated on EVV regulations: Regularly review any updates or changes to EVV requirements to ensure ongoing compliance.
4. How To Avoid It
- Educate staff on EVV requirements: Train your healthcare team on the specific EVV data submission process and the importance of using an approved EVV vendor.
- Implement a reliable EVV system: Invest in a robust EVV system that integrates smoothly with your existing workflows and ensures accurate data submission.
- Perform regular audits of EVV data: Conduct periodic reviews of EVV data submissions to identify any potential issues or missing information.
- Stay in communication with the EVV vendor: Maintain an open line of communication with your chosen EVV vendor to address any technical issues promptly.
5. Example Cases
- Case 1: A claim is denied because the EVV data was not submitted through an approved EVV vendor, highlighting the importance of using the correct submission method.
- Case 2: A claim adjustment occurs due to missing EVV data, emphasizing the need for complete and accurate data submission.
Source: Remittance Advice Remark Codes
