How To Fix Remark Code M313 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N93 means that a separate claim must be submitted for each place of service. This code is often used by healthcare providers and insurance companies to indicate that services furnished at multiple sites cannot be billed in the same claim.

1. Description

Remark Code N93 indicates that a separate claim must be submitted for each place of service. The official description states: ‘Services furnished at multiple sites may not be billed in the same claim.’ This requirement ensures accurate billing and prevents confusion regarding the specific services provided at each location.

2. Common Reasons

1. Multiple services provided at different locations: When a healthcare provider offers services at multiple sites, it is essential to bill each location separately to accurately reflect the services rendered at each place of service.
2. Inaccurate billing due to combining services: Combining services from different locations in a single claim can lead to billing errors and potential claim denials.
3. Failure to identify the specific place of service: If the claim does not clearly indicate the place of service for each service provided, it may result in claim rejections or adjustments.

3. Next Steps

1. Submit separate claims for each place of service: To comply with Remark Code N93, healthcare providers should ensure that each location where services were provided is billed separately.
2. Clearly identify the place of service for each service: Accurate documentation of the place of service for each service is crucial to prevent claim rejections or adjustments.
3. Review billing processes and systems: Healthcare providers should evaluate their billing processes and systems to ensure they can easily generate separate claims for each place of service.

4. How To Avoid It

1. Implement a clear billing policy: Establish a policy that clearly outlines the requirement to submit separate claims for each place of service.
2. Educate staff on proper billing procedures: Train staff members responsible for billing to ensure they understand the importance of submitting separate claims for each location.
3. Utilize billing software with place of service tracking: Implement billing software that allows for easy identification and tracking of the place of service for each service provided.

5. Example Cases

1. Case 1: A claim is denied because services provided at two different clinics were billed in a single claim, highlighting the need to submit separate claims for each place of service.
2. Case 2: A claim adjustment occurs because the place of service was not clearly indicated for each service provided, emphasizing the importance of accurate documentation.

Source: Remittance Advice Remark Codes