How To Fix Remark Code M294 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N74 means that multiple claims need to be resubmitted, with each claim covering services provided in only one calendar month. This code is often used by healthcare providers and insurance companies to indicate the reason for denial or adjustment of a claim related to multiple claims covering services provided in more than one calendar month.

1. Description

Remark Code N74 indicates that the claims submitted need to be resubmitted, with each claim covering services provided in only one calendar month. The official description states: ‘Resubmit with multiple claims, each claim covering services provided in only one calendar month.’ This requirement is crucial for accurate billing and proper reimbursement, highlighting the importance of correctly aligning claims with the corresponding calendar month.

2. Common Reasons

1. Claims covering services provided in multiple calendar months: This may occur when services are rendered over an extended period, but the claims are not appropriately divided into separate calendar months.
2. Incorrect billing period: In some cases, claims may be submitted with an incorrect billing period, leading to the need for resubmission.
3. Failure to align claims with calendar months: Healthcare providers may overlook the requirement to align claims with the specific calendar month in which the services were provided.
4. Insufficient documentation: Inadequate documentation supporting the services provided in each calendar month can result in the need for resubmission.

3. Next Steps

1. Review and separate services provided in each calendar month: Carefully analyze the services rendered and ensure they are appropriately divided into separate claims for each calendar month.
2. Verify the accuracy of the billing period: Double-check that the billing period specified on each claim aligns with the services provided in the corresponding calendar month.
3. Ensure proper documentation for each claim: Thoroughly document the services provided in each calendar month to support the resubmission of multiple claims.

4. How To Avoid It

1. Divide claims into separate calendar months: Ensure that claims accurately reflect the services provided within each specific calendar month.
2. Double-check billing periods: Verify that the billing period specified on each claim aligns with the services provided in the corresponding calendar month.
3. Maintain comprehensive documentation: Thoroughly document the services provided in each calendar month to support accurate billing and avoid the need for resubmission.

5. Example Cases

1. Case 1: A claim covering services provided in multiple calendar months is denied, emphasizing the importance of accurately dividing claims.
2. Case 2: An adjustment is made to a claim due to an incorrect billing period, highlighting the need for careful verification.

Source: Remittance Advice Remark Codes