How To Fix Remark Code M65 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code M77 means that there is a missing, incomplete, invalid, or inappropriate place of service. This code is often used by healthcare providers and insurance companies to indicate the reason for denial or adjustment of a claim related to the place of service.

1. Description

Remark Code M77 indicates that there is an issue with the place of service listed on the claim. The official description states: ‘Missing/incomplete/invalid/inappropriate place of service.’ The place of service is an important component of a claim as it helps determine the appropriate reimbursement rate and ensures that the services were provided in the correct setting.

2. Common Reasons

1. Missing place of service: The claim may be missing the required place of service code, which is necessary for accurate processing and reimbursement.
2. Incomplete place of service: The place of service code provided on the claim may be incomplete, leading to claim denials or adjustments.
3. Invalid place of service: The place of service code listed on the claim may be invalid or not recognized by the payer, resulting in claim issues.
4. Inappropriate place of service: The place of service code may not align with the type of services provided, leading to claim denials or adjustments.

3. Next Steps

1. Review the claim for accuracy: Carefully review the claim to ensure that the correct place of service code is listed and that it accurately reflects where the services were provided.
2. Obtain the correct place of service code: If the place of service code is missing or incomplete, contact the healthcare provider or facility to obtain the correct code.
3. Update the claim with the correct place of service code: Once the correct place of service code is obtained, update the claim with the accurate information before resubmitting it for processing.

4. How To Avoid It

1. Ensure accurate documentation: Properly document the place of service where the services were provided to avoid any discrepancies or errors on the claim.
2. Use the correct place of service code: Familiarize yourself with the appropriate place of service codes and ensure that the correct code is selected for each claim.
3. Double-check claim submissions: Before submitting a claim, double-check that all the information, including the place of service code, is accurate and complete.

5. Example Cases

1. Case 1: A claim is denied because the place of service code is missing, highlighting the importance of including this information for accurate claim processing.
2. Case 2: A claim adjustment occurs because an invalid place of service code was listed, emphasizing the need for using the correct codes to avoid claim issues.

Source: Remittance Advice Remark Codes