How To Fix Remark Code M140 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code MA24 means that a Christian Science Sanitarium or Skilled Nursing Facility (SNF) bill has been submitted within the same benefit period. This code is used to indicate that the claim is being denied or adjusted due to billing for services that are not covered under the specific benefit period.

1. Description

Remark Code MA24 indicates that a Christian Science Sanitarium or Skilled Nursing Facility (SNF) bill has been submitted within the same benefit period. The official description states: ‘Christian Science Sanitarium/SNF bill in the same benefit period.’ This remark code is used to highlight that the services being billed for are not eligible for coverage within the current benefit period.

2. Common Reasons

1. Christian Science Sanitarium bill submitted within the same benefit period: This remark code is triggered when a claim is submitted for services provided by a Christian Science Sanitarium within the same benefit period.
2. Skilled Nursing Facility bill submitted within the same benefit period: Similarly, this remark code is used when a claim is submitted for services provided by a Skilled Nursing Facility within the same benefit period.

3. Next Steps

1. Contact the billing department: Reach out to the billing department of the Christian Science Sanitarium or Skilled Nursing Facility to discuss the denial or adjustment of the claim.
2. Review the benefit period: Verify the dates of the benefit period to ensure that the services being billed for fall within the appropriate timeframe.
3. Consider alternative coverage options: If the services are not covered under the current benefit period, explore other insurance coverage options or discuss self-payment arrangements with the facility.

4. How To Avoid It

1. Understand the coverage limitations: Familiarize yourself with the specific coverage limitations of your insurance plan, including any restrictions on Christian Science Sanitarium or Skilled Nursing Facility services within a benefit period.
2. Coordinate with the facility: Communicate with the Christian Science Sanitarium or Skilled Nursing Facility to ensure that services are provided within the appropriate benefit period to avoid claim denials or adjustments.
3. Review insurance benefits: Regularly review your insurance benefits to stay informed about coverage limitations and ensure that you are utilizing services within the appropriate timeframe.

5. Example Cases

1. Case 1: A claim for Christian Science Sanitarium services is denied because it was submitted within the same benefit period, highlighting the need for understanding coverage limitations.
2. Case 2: A claim for Skilled Nursing Facility services is adjusted due to billing within the same benefit period, emphasizing the importance of coordinating with the facility and reviewing insurance benefits.

Source: Remittance Advice Remark Codes